Maureen Kimora Wallen is a Camillus, New York based female Optometrist with 21 years of experience in Optometry. She completed her graduation from State University Of New York - State College Optometry in 2003. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Maureen Kimora Wallen is TUV006882 for Optometry in New York. Maureen Kimora Wallen examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Maureen Kimora Wallen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
21+ years
Medical School Attended:
State University Of New York - State College Optometry
Graduation Year:
2003
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
5700 West Genesee Street, Suite 112, Camillus, New York, 13031
Phone:
315-488-1601
Fax:
315-488-0047
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5991747974
Enrollment ID:
I20050624000810
NPI Number:
1285618439
NPI Enumeration Date:
01 Dec, 2005
NPI Last Update On:
01 Apr, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Maureen Kimora Wallen are as mentioned below.
License Number
Specialization
State
Status
TUV006882
Optometry
New York
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Maureen Kimora Wallen has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Robert K Druger Md Pllc (1456325653)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Maureen Kimora Wallen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P00799448
Other
MEDICARE RAILROAD
02845334
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5700 West Genesee Street, Suite 112 Camillus, New York
Zip:
13031
Phone Number:
315-488-1601
Fax Number:
315-488-0047
Patients can reach Maureen Kimora Wallen at 5700 West Genesee Street, Suite 112, Camillus, New York or can call to book an appointment on 315-488-1601. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
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