| Robert Marc Tyszko | |
|
129 Wilton Rd, Peterborough, NH 03458-1749 | |
| (603) 924-9591 | |
| (603) 924-9593 |
| Full Name | Robert Marc Tyszko |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 129 Wilton Rd, Peterborough, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023245305 | NPI | - | NPPES |
| 30354215 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 726 (New Hampshire) | Primary |
| Provider Name | Robert M Tyszko |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467486852 PECOS PAC ID: 7214927011 Enrollment ID: I20040513001546 |
| Provider Name | Linda S. Gilligan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649264805 PECOS PAC ID: 8729000369 Enrollment ID: I20051227000192 |
| Provider Name | Julie Le |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306802178 PECOS PAC ID: 8820003650 Enrollment ID: I20060215000100 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Marc Tyszko 129 Wilton Rd, Peterborough, NH 03458-1749 Ph: (603) 924-9591 | Robert Marc Tyszko 129 Wilton Rd, Peterborough, NH 03458-1749 Ph: (603) 924-9591 |
Michael B Gordon, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9 Main St, Peterborough, NH 03458 Phone: 603-924-1611 Fax: 603-924-1609 | |
Dr. John Frederick Minteer, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 129 Wilton Rd, Peterborough, NH 03458 Phone: 603-924-9591 Fax: 603-924-9593 | |
Robert Marc Tyszko, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 129 Wilton Rd, Suite A, Peterborough, NH 03458 Phone: 603-924-9591 Fax: 603-924-9593 |