DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THERESA LOSCALZO BACARIS, OD

Active Sole Proprietor

DR. THERESA LOSCALZO BACARIS, OD is a Optometrist healthcare provider located in MASTIC, New York. NPI 1720162431 is currently active in the NPPES registry. Verify at CMS.

Optometrist · MASTIC, NY

Registration Details

NPI Number
1720162431
Provider Type
Individual
Gender
Female
NPI Issued
Oct 25, 2006 (19.79254088919 yrs)
Last Updated
Apr 1, 2016
License
VUT004799-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
1360 MONTAUK HWY
STE 2E
MASTIC, NY, 119502929
Browse NY providers · Browse ZIP 11950
Phone
6312812474
Fax
6312812476
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in MASTIC, NY

Name Credential NPI
HANAN SALEH OD 1467236133
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.