| Brooke Plaza Optical, Inc. | |
|
3450 Long Beach Rd, Oceanside, NY 11572-5440 | |
| (516) 678-1616 | |
| (516) 764-2711 |
| Full Name | Brooke Plaza Optical, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3450 Long Beach Rd, Oceanside, 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 |
|---|---|---|---|
| 1467620708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | VUT2830-1 (New York) | Primary |
| Provider Name | Richard C Bohn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124163647 PECOS PAC ID: 4082762315 Enrollment ID: I20090424000489 |
| Provider Name | Walter Donach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245386549 PECOS PAC ID: 6507894797 Enrollment ID: I20130307000399 |
| Provider Name | Donna Joy Mangatt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821168741 PECOS PAC ID: 9436219862 Enrollment ID: I20190402001375 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Plaza Optical, Inc. 3450 Long Beach Rd, Oceanside, NY 11572-5440 Ph: (516) 678-1616 | Brooke Plaza Optical, Inc. 3450 Long Beach Rd, Oceanside, NY 11572-5440 Ph: (516) 678-1616 |
Dr. Kimberly Ann Biscardi, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3529 Long Beach Rd, Oceanside, NY 11572 Phone: 516-764-2020 | |
Dr. Rory Adam Bowman, Optometrist Medicare: Medicare Enrolled Practice Location: 3450 Long Beach Rd, Oceanside, NY 11572 Phone: 516-678-1616 | |
Dr. Richard Bohn, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3450 Long Beach Rd, Oceanside, NY 11572 Phone: 516-678-1616 Fax: 516-764-2711 | |
Rycam Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 40 Atlantic Ave, Oceanside, NY 11572 Phone: 516-255-2020 Fax: 516-255-1818 | |
Framebar Co Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2894 Long Beach Rd, Oceanside, NY 11572 Phone: 718-749-7027 | |
Eye Supply Of Oceanside Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3529 Long Beach Rd, Oceanside, NY 11572 Phone: 516-764-2020 |