| Westfall Vision, Llc | |
|
15 E Washington St, Glens Falls, NY 12801-3315 | |
| (518) 792-5711 | |
| (518) 792-5723 |
| Full Name | Westfall Vision, Llc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 15 E Washington St, Glens Falls, 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 |
|---|---|---|---|
| 1083303903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Provider Name | Joanne Detore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396724894 PECOS PAC ID: 4183718042 Enrollment ID: I20070922000045 |
| Provider Name | David F Westfall |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811991433 PECOS PAC ID: 9234211582 Enrollment ID: I20080125000514 |
| Provider Name | Kamaljit Singh Westfall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376550749 PECOS PAC ID: 2466424312 Enrollment ID: I20110902000565 |
| Provider Name | Paul J Westfall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831103464 PECOS PAC ID: 4082661012 Enrollment ID: I20110916000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Westfall Vision, Llc 15 E Washington St, Glens Falls, NY 12801-3315 Ph: (518) 792-5711 | Westfall Vision, Llc 15 E Washington St, Glens Falls, NY 12801-3315 Ph: (518) 792-5711 |