Robert Ottaviani Od is a 
Optometrist based in Wyalusing, Pennsylvania. Robert Ottaviani Od is licensed to practice in Pennsylvania (license number OEG000822) and their current practice location is 
55 Main St, Wyalusing, Pennsylvania. It can be reached at their office (for appointments etc.) via phone at 
(570) 746-1610.
NPI number for Robert Ottaviani Od is 1679730071 and their current mailing address is P.o. Box 307, Wyalusing, Pennsylvania. Robert Ottaviani Od 
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1679730071.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Robert Ottaviani Od | 
|---|
| Type | Facility | 
|---|
| Speciality | Optometrist | 
|---|
| Location | 55 Main St, Wyalusing, Pennsylvania | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1679730071
 - Provider Enumeration Date: 05/22/2008
 - Last Update Date: 10/23/2012
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Robert Ottaviani Od such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1679730071 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 152W00000X | Optometrist  | OEG000822 (Pennsylvania) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Ottaviani Od is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Robert Ottaviani Od P.o. Box 307, Wyalusing, PA 18853-0307 Ph: (570) 746-1610 | Robert Ottaviani Od 55 Main St, Wyalusing, PA 18853-0307 Ph: (570) 746-1610 | 
		
		 
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