| Vineyard Vision Care Llc | |
|
79 Beach Rd Unit 30, Vineyard Haven, MA 02568-2600 | |
| (508) 693-3517 | |
| (508) 696-8570 |
| Full Name | Vineyard Vision Care Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 79 Beach Rd Unit 30, Vineyard Haven, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073740437 | NPI | - | NPPES |
| W20518 | Other | MA | BLUE CROSS AND BLUE SHIELD OF MA |
| 110085992A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 332H00000X | Eyewear Supplier | 2348 (Massachusetts) | Secondary |
| Provider Name | Ryan P Shea |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720279250 PECOS PAC ID: 8527146679 Enrollment ID: I20080415000615 |
| Mailing Address | Practice Location Address |
|---|---|
| Vineyard Vision Care Llc Po Box 519, Vineyard Haven, MA 02568-0519 Ph: (508) 693-3517 | Vineyard Vision Care Llc 79 Beach Rd Unit 30, Vineyard Haven, MA 02568-2600 Ph: (508) 693-3517 |
David M Finkelstein, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 28 State Rd, Vineyard Haven, MA 02568 Phone: 508-693-3517 Fax: 508-696-8570 | |
Marthas Vineyard Eye Care Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 26 Surveyors Lane #10, Vineyard Haven, MA 02568 Phone: 617-468-1741 | |
Dr. Ryan P. Shea, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 28 State Road, Vineyard Haven, MA 02568 Phone: 508-693-3517 Fax: 508-696-8570 | |
Dr. George Augustus Santos Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 638 Main St., Vineyard Haven, MA 02568 Phone: 508-693-7222 Fax: 508-693-8739 |