| Pine Bush Optometric Pc | |
|
70 Main Street, Pine Bush, NY 12566 | |
| (845) 744-2003 | |
| (845) 744-6260 |
| Full Name | Pine Bush Optometric Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 70 Main Street, Pine Bush, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326143173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TUV006249-1 (New York) | Primary |
| Provider Name | Julie Pagan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649279647 PECOS PAC ID: 6901881622 Enrollment ID: I20040618000539 |
| Provider Name | Richard Pagan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235138561 PECOS PAC ID: 6800871542 Enrollment ID: I20040618000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Bush Optometric Pc Po Box 949, Pine Bush, NY 12566-0949 Ph: (845) 744-2003 | Pine Bush Optometric Pc 70 Main Street, Pine Bush, NY 12566 Ph: (845) 744-2003 |
Dr. Richard H Pagan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 70 Main St., Pine Bush, NY 12566 Phone: 845-744-2003 Fax: 845-744-6260 | |
Dr. Julie A. Pagan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 70 Main St, Pine Bush, NY 12566 Phone: 845-744-2003 Fax: 845-744-6260 |