Vincent M Magliocco


Address: 2230 Towne Lake, Suite 100, Woodstock, GA 30189-5541

Vincent M Magliocco (NPI# 1194771766, PAC ID# 9335189000) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.

Physician Overview

Nation Provider ID (NPI) 1194771766
PAC ID by PECOS 9335189000
Professional Enrollment ID I20050512000221
Full Name Vincent M Magliocco
Address 2230 Towne Lake
Suite 100
Woodstock
GA 30189-5541
Gender M
Credential OD
Medical School PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year 1971
Primary Specialty OPTOMETRY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
2230 Towne Lake, Suite 100, Woodstock, GA 30189-5541

Organization Information

Office Location

Street Address 2230 TOWNE LAKE
SUITE 100
City WOODSTOCK
State GA
Zip 30189-5541

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Competitor

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City WOODSTOCK
Zip Code 30189
Specialty OPTOMETRY
City + Specialty WOODSTOCK + OPTOMETRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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