| Myeyedr | |
|
1960 Randolph Rd, Charlotte, NC 28207-1102 | |
| (704) 714-5338 | |
| Not Available |
| Full Name | Myeyedr |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1960 Randolph Rd, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023183563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Katherine H Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184638611 PECOS PAC ID: 2163316019 Enrollment ID: I20040211000535 |
| Provider Name | Donald R Macqueen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740330539 PECOS PAC ID: 5395737928 Enrollment ID: I20040401001403 |
| Provider Name | Terry Wayne Ellington |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093719080 PECOS PAC ID: 9133020357 Enrollment ID: I20040420001569 |
| Provider Name | Dustan Chris Martin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861493330 PECOS PAC ID: 5698670180 Enrollment ID: I20040420001740 |
| Provider Name | John Joseph Jicha |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376527705 PECOS PAC ID: 8123014479 Enrollment ID: I20040422000177 |
| Provider Name | Katherine S Whittington |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477548972 PECOS PAC ID: 9032190061 Enrollment ID: I20040526000791 |
| Provider Name | Bruce L Reese |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578631677 PECOS PAC ID: 2769464320 Enrollment ID: I20040622000569 |
| Provider Name | Megan H Latham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003887274 PECOS PAC ID: 3173596673 Enrollment ID: I20040813000452 |
| Provider Name | David Fitzgerald |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144267105 PECOS PAC ID: 7719959121 Enrollment ID: I20040819001529 |
| Provider Name | Sarah P Mccann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467409433 PECOS PAC ID: 0941274617 Enrollment ID: I20040819001564 |
| Provider Name | Jason Robert Price |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821081282 PECOS PAC ID: 2163336793 Enrollment ID: I20040820000700 |
| Provider Name | Jeffrey P Strand |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063405447 PECOS PAC ID: 9638133762 Enrollment ID: I20041117000914 |
| Provider Name | Lori W Couch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265438816 PECOS PAC ID: 2860456761 Enrollment ID: I20041118001045 |
| Provider Name | Shannon Lee Kirby |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417925975 PECOS PAC ID: 8921059593 Enrollment ID: I20050201000960 |
| Provider Name | Joyce N Adeleke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700892031 PECOS PAC ID: 4486606118 Enrollment ID: I20050210000640 |
| Provider Name | Steven E Bilon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750497301 PECOS PAC ID: 4587617048 Enrollment ID: I20050224000169 |
| Provider Name | Erika H Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760445605 PECOS PAC ID: 0446205470 Enrollment ID: I20050314000132 |
| Provider Name | David Wells |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336134436 PECOS PAC ID: 8123074705 Enrollment ID: I20050328000106 |
| Provider Name | Osama H Said |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235182858 PECOS PAC ID: 0941235527 Enrollment ID: I20051003000373 |
| Provider Name | Sanjay B Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093763211 PECOS PAC ID: 5496749228 Enrollment ID: I20051021000047 |
| Provider Name | Alisa D Strickland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548217516 PECOS PAC ID: 2567480031 Enrollment ID: I20051103000770 |
| Provider Name | Mark Christopher Cotter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609830249 PECOS PAC ID: 8628083714 Enrollment ID: I20060210000194 |
| Provider Name | Benjamin Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487647848 PECOS PAC ID: 6002823465 Enrollment ID: I20060310000133 |
| Provider Name | Susan C Beachler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689681652 PECOS PAC ID: 6002864162 Enrollment ID: I20060405000695 |
| Provider Name | Asma Khan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316992571 PECOS PAC ID: 5092724856 Enrollment ID: I20060407000072 |
| Provider Name | Artis L Beatty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972567006 PECOS PAC ID: 6800806092 Enrollment ID: I20060503000081 |
| Provider Name | Lisa M Try |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891759924 PECOS PAC ID: 8628081718 Enrollment ID: I20060712000181 |
| Provider Name | Craig Poole |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427008291 PECOS PAC ID: 3476558834 Enrollment ID: I20060919000322 |
| Provider Name | Lisa J Fuller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609899947 PECOS PAC ID: 2567467475 Enrollment ID: I20060928000169 |
| Provider Name | Glenn C Middleton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508816489 PECOS PAC ID: 9638176167 Enrollment ID: I20061026000110 |
| Provider Name | Brian P Harris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619995958 PECOS PAC ID: 0547269334 Enrollment ID: I20061205000114 |
| Provider Name | David K Bailey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598868788 PECOS PAC ID: 6406856509 Enrollment ID: I20070112000196 |
| Provider Name | David M Reynolds |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316905722 PECOS PAC ID: 9537160593 Enrollment ID: I20070118000465 |
| Provider Name | Norva E Osborne |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134180532 PECOS PAC ID: 5395747455 Enrollment ID: I20070206000474 |
| Provider Name | Andrew J Harris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396830840 PECOS PAC ID: 6709884653 Enrollment ID: I20070207000528 |
| Provider Name | Yen H Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528169711 PECOS PAC ID: 9335241785 Enrollment ID: I20070303000044 |
| Provider Name | Monica L Reeves |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932202041 PECOS PAC ID: 9234231614 Enrollment ID: I20070305000172 |
| Provider Name | Paul B Jackson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598706855 PECOS PAC ID: 4880793504 Enrollment ID: I20070621000230 |
| Provider Name | Lisa E Graybeal Ziebell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750325478 PECOS PAC ID: 7012008444 Enrollment ID: I20070814000321 |
| Provider Name | Daniel Beck |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205836525 PECOS PAC ID: 2163513532 Enrollment ID: I20070814000755 |
| Provider Name | Julia A Pridgen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710173083 PECOS PAC ID: 5092800854 Enrollment ID: I20071009000397 |
| Provider Name | Donna E Hillsgrove |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194783811 PECOS PAC ID: 5597851337 Enrollment ID: I20071010000160 |
| Provider Name | Richard L Black |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528017399 PECOS PAC ID: 5193701522 Enrollment ID: I20071112000339 |
| Provider Name | Roger Watson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205899036 PECOS PAC ID: 1658275102 Enrollment ID: I20071207000596 |
| Provider Name | Leslie A Mazzarella |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932288123 PECOS PAC ID: 1850472960 Enrollment ID: I20080115000411 |
| Provider Name | Stephen D Garrett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609825793 PECOS PAC ID: 4284715079 Enrollment ID: I20080117000768 |
| Provider Name | Floy W Kampe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215907977 PECOS PAC ID: 2567545031 Enrollment ID: I20080207000451 |
| Provider Name | Irina S Feiner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861618241 PECOS PAC ID: 1153407804 Enrollment ID: I20080321000097 |
| Provider Name | Jillian I Okeefe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821153230 PECOS PAC ID: 4284710252 Enrollment ID: I20080401000234 |
| Provider Name | Nancie Nguyen-marynell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245239516 PECOS PAC ID: 6709860034 Enrollment ID: I20080702000495 |
| Provider Name | Michael Scott |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740260686 PECOS PAC ID: 0547334039 Enrollment ID: I20080731000649 |
| Provider Name | Samuel Cox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972608974 PECOS PAC ID: 2264524503 Enrollment ID: I20080813000530 |
| Provider Name | Catherine M Earl |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043397193 PECOS PAC ID: 7618061276 Enrollment ID: I20080902000451 |
| Provider Name | Jennifer Fishel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770584567 PECOS PAC ID: 7517033194 Enrollment ID: I20080904000717 |
| Provider Name | Robin S Mckeel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851549349 PECOS PAC ID: 4385703842 Enrollment ID: I20081112000744 |
| Provider Name | Anna Leggett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942495023 PECOS PAC ID: 4385700392 Enrollment ID: I20090226000530 |
| Provider Name | Kirsten Albrecht |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952369308 PECOS PAC ID: 4486710787 Enrollment ID: I20090312000224 |
| Provider Name | Robert Dickey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326036807 PECOS PAC ID: 6305914631 Enrollment ID: I20090327000388 |
| Provider Name | Leslie W Singer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255580189 PECOS PAC ID: 9436209723 Enrollment ID: I20090608000459 |
| Provider Name | Elizabeth S Gunst |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205083755 PECOS PAC ID: 0840344255 Enrollment ID: I20090819000940 |
| Provider Name | April Madaris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396078424 PECOS PAC ID: 3476690587 Enrollment ID: I20091022000146 |
| Provider Name | Katherine M Keaveney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225228497 PECOS PAC ID: 6406996313 Enrollment ID: I20091224000033 |
| Provider Name | Teresa K Angeli |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245464411 PECOS PAC ID: 1951441732 Enrollment ID: I20091230000084 |
| Provider Name | Steven D Friedman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497745871 PECOS PAC ID: 6901933530 Enrollment ID: I20100429000927 |
| Provider Name | Matthew R Cannon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528057700 PECOS PAC ID: 9234278243 Enrollment ID: I20100515000023 |
| Provider Name | Howard Milton Mcfarland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154379204 PECOS PAC ID: 8325038490 Enrollment ID: I20100730000939 |
| Provider Name | Frederic Alan Munz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912908872 PECOS PAC ID: 6002710555 Enrollment ID: I20100811000151 |
| Provider Name | Melissa Jo Sterling |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861440349 PECOS PAC ID: 1759415631 Enrollment ID: I20100813000552 |
| Provider Name | Hursel Mike Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841283702 PECOS PAC ID: 0244364057 Enrollment ID: I20100816000909 |
| Provider Name | Kirk Randall Harris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104826387 PECOS PAC ID: 1557495108 Enrollment ID: I20100817001705 |
| Provider Name | Christopher Lee Padgett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467400259 PECOS PAC ID: 6103950597 Enrollment ID: I20100820000678 |
| Provider Name | Emery C Ward |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740279892 PECOS PAC ID: 7214051408 Enrollment ID: I20100825000961 |
| Provider Name | Allison Hatley Harris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649237223 PECOS PAC ID: 4284758244 Enrollment ID: I20100826001119 |
| Provider Name | Philip D Gaskins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255399770 PECOS PAC ID: 4385768225 Enrollment ID: I20100830001130 |
| Provider Name | Shemeeka L Mcfadden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003079518 PECOS PAC ID: 9133243553 Enrollment ID: I20100907000884 |
| Provider Name | Sean M Skierczynski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194958025 PECOS PAC ID: 2769507177 Enrollment ID: I20100908000952 |
| Provider Name | Chris Rankin Glendenning |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386607133 PECOS PAC ID: 7012032923 Enrollment ID: I20100915001216 |
| Provider Name | Tracey Morette Glendenning |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992768758 PECOS PAC ID: 1557486461 Enrollment ID: I20100915001234 |
| Provider Name | Samuel E Thompson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568410504 PECOS PAC ID: 3577688019 Enrollment ID: I20100921000402 |
| Provider Name | William Dolan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992704050 PECOS PAC ID: 6002932415 Enrollment ID: I20100922001202 |
| Provider Name | John S Yoakum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568482271 PECOS PAC ID: 8224154570 Enrollment ID: I20100924000124 |
| Provider Name | Kelly Lee Ialongo Virnig |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558590554 PECOS PAC ID: 2163551201 Enrollment ID: I20100928000881 |
| Provider Name | Stacy Lj Levinson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013902154 PECOS PAC ID: 8729271788 Enrollment ID: I20101022000068 |
| Provider Name | Morris F Sheffer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306831003 PECOS PAC ID: 1658363825 Enrollment ID: I20101030000218 |
| Provider Name | Eileen Marie Walsh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598731341 PECOS PAC ID: 4082808159 Enrollment ID: I20101102001332 |
| Provider Name | Michael Sutton Schilawski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972811321 PECOS PAC ID: 3274727193 Enrollment ID: I20101104000116 |
| Provider Name | J Kilgo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508855784 PECOS PAC ID: 7416061650 Enrollment ID: I20101104000261 |
| Provider Name | Dale David Stewart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255330254 PECOS PAC ID: 9234326307 Enrollment ID: I20101215000559 |
| Provider Name | Deborah A Hayden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720001399 PECOS PAC ID: 2163610502 Enrollment ID: I20101229000253 |
| Provider Name | Lisa N Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104840578 PECOS PAC ID: 5799973277 Enrollment ID: I20101229000472 |
| Provider Name | Roger G Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205859832 PECOS PAC ID: 7416145990 Enrollment ID: I20110103000680 |
| Provider Name | Joseph Presson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598736258 PECOS PAC ID: 3678789476 Enrollment ID: I20110303000603 |
| Provider Name | Jonathan E Bowling |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568590214 PECOS PAC ID: 3870642663 Enrollment ID: I20110314000168 |
| Provider Name | William Michael Jamison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255319109 PECOS PAC ID: 7315122827 Enrollment ID: I20110427000441 |
| Provider Name | Angela D Sellers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295040111 PECOS PAC ID: 1850562257 Enrollment ID: I20110915000171 |
| Provider Name | Roselyn Iveren Ahua |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679888556 PECOS PAC ID: 3274704515 Enrollment ID: I20110919000464 |
| Provider Name | Nicholas Reid |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720399157 PECOS PAC ID: 3678769445 Enrollment ID: I20111007000417 |
| Provider Name | Caroline W Silver |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417940958 PECOS PAC ID: 2961675426 Enrollment ID: I20111027000605 |
| Provider Name | Michael Peters |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306839766 PECOS PAC ID: 9234276866 Enrollment ID: I20111110000339 |
| Provider Name | Altagracia Lopez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194718536 PECOS PAC ID: 5193999019 Enrollment ID: I20111110000542 |
| Provider Name | Dennis Lloyd Michels |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982783064 PECOS PAC ID: 9537143151 Enrollment ID: I20111205000929 |
| Provider Name | Darryl E Glover |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487935995 PECOS PAC ID: 4587839048 Enrollment ID: I20111212000388 |
| Provider Name | George J Kuchenreuther |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275504532 PECOS PAC ID: 0749361707 Enrollment ID: I20111221000003 |
| Provider Name | Ann Groomer Moore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861463960 PECOS PAC ID: 9830270891 Enrollment ID: I20111221000016 |
| Provider Name | Phillip Strickland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740273002 PECOS PAC ID: 9335253699 Enrollment ID: I20120113000069 |
| Provider Name | John Lindsay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710935606 PECOS PAC ID: 5395850036 Enrollment ID: I20120120000044 |
| Provider Name | Keith R Hoffman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558344804 PECOS PAC ID: 9234101452 Enrollment ID: I20120125000770 |
| Provider Name | Andrew Cook |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063413607 PECOS PAC ID: 5294849634 Enrollment ID: I20120214000722 |
| Provider Name | Carrianne G Starnes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851685093 PECOS PAC ID: 3678735933 Enrollment ID: I20120502000445 |
| Provider Name | Paul D Hayes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053397968 PECOS PAC ID: 1850405176 Enrollment ID: I20120508000005 |
| Provider Name | Courtney S Parker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356612535 PECOS PAC ID: 9234393364 Enrollment ID: I20120621000007 |
| Provider Name | Amy Sugarman Sweeney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013297654 PECOS PAC ID: 2062685522 Enrollment ID: I20120723000160 |
| Provider Name | Sarit G Catchatoorian |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720190333 PECOS PAC ID: 0143476655 Enrollment ID: I20120820000677 |
| Provider Name | Michael Joyce |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386992220 PECOS PAC ID: 5395996995 Enrollment ID: I20121107000650 |
| Provider Name | Jigna D Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801144753 PECOS PAC ID: 8628229978 Enrollment ID: I20121113000683 |
| Provider Name | Thomas R Coccia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134272420 PECOS PAC ID: 9830281138 Enrollment ID: I20121119000417 |
| Provider Name | Jennifer Sue Faber |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205183183 PECOS PAC ID: 1850543398 Enrollment ID: I20121210000317 |
| Provider Name | Kaajal Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457539991 PECOS PAC ID: 5395990840 Enrollment ID: I20130307000002 |
| Provider Name | Philip B Funderburk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093830135 PECOS PAC ID: 7911145206 Enrollment ID: I20130528000393 |
| Provider Name | Pamela C Price |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861525057 PECOS PAC ID: 0648418939 Enrollment ID: I20130528000419 |
| Provider Name | Jason M Minton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073873865 PECOS PAC ID: 3375784093 Enrollment ID: I20130924000700 |
| Provider Name | Mindie Tiffany Do |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881933927 PECOS PAC ID: 0446485916 Enrollment ID: I20131109000201 |
| Provider Name | Truc Ly N Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285986927 PECOS PAC ID: 5597992826 Enrollment ID: I20131212000936 |
| Provider Name | Kevin William Virnig |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023446382 PECOS PAC ID: 3577793884 Enrollment ID: I20140306001941 |
| Provider Name | Andrew Simpson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811323199 PECOS PAC ID: 9234361031 Enrollment ID: I20140409002056 |
| Provider Name | Thomas Blackburn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255687554 PECOS PAC ID: 4981854536 Enrollment ID: I20140508001842 |
| Provider Name | Laura Cline |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558794230 PECOS PAC ID: 6608009980 Enrollment ID: I20140513000543 |
| Provider Name | Jamie B Boyd Maneth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972943496 PECOS PAC ID: 3577786656 Enrollment ID: I20140516001734 |
| Provider Name | Amanda B Hendrix |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669513677 PECOS PAC ID: 4981827433 Enrollment ID: I20140602000982 |
| Provider Name | Bupathi Saubagya Dissanayake-musalem |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497043335 PECOS PAC ID: 9638396302 Enrollment ID: I20140805000552 |
| Provider Name | Anjali D Vachhani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023321056 PECOS PAC ID: 7517185077 Enrollment ID: I20140825001118 |
| Provider Name | Chonda E Washington |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992927818 PECOS PAC ID: 5698994218 Enrollment ID: I20140915000628 |
| Provider Name | Sherelle Morrison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326323445 PECOS PAC ID: 1658545587 Enrollment ID: I20140922000179 |
| Provider Name | Phillip Cole Boykin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053712240 PECOS PAC ID: 8527280221 Enrollment ID: I20141113000986 |
| Provider Name | Ashlin Ann Mikolich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164823357 PECOS PAC ID: 6204058837 Enrollment ID: I20141114000024 |
| Provider Name | Benjamin Carlo Steger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629479811 PECOS PAC ID: 8921220559 Enrollment ID: I20141114000039 |
| Provider Name | Taylor Allard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497158018 PECOS PAC ID: 3577880483 Enrollment ID: I20150401002679 |
| Provider Name | Joseph Faulk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235567256 PECOS PAC ID: 5890013882 Enrollment ID: I20150423002213 |
| Provider Name | Rebecca N. Garces |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760878631 PECOS PAC ID: 6305167008 Enrollment ID: I20150605002832 |
| Provider Name | Suzanne E. Guin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144601535 PECOS PAC ID: 8628383221 Enrollment ID: I20150811005156 |
| Provider Name | Kristine M Loo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245675701 PECOS PAC ID: 9133435985 Enrollment ID: I20150825003852 |
| Provider Name | Ashley Ballard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013314608 PECOS PAC ID: 6002118478 Enrollment ID: I20160104000213 |
| Provider Name | Kristi Raess |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689041048 PECOS PAC ID: 8527360429 Enrollment ID: I20160109000020 |
| Provider Name | Brent B Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235239641 PECOS PAC ID: 0446226476 Enrollment ID: I20160112001715 |
| Provider Name | Cassandra Hinderscheid |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285914820 PECOS PAC ID: 7911178256 Enrollment ID: I20160126000085 |
| Provider Name | Natalie R Wieand |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265586309 PECOS PAC ID: 6406150028 Enrollment ID: I20160202001665 |
| Provider Name | John L Moonan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730553736 PECOS PAC ID: 7911296553 Enrollment ID: I20160520000293 |
| Provider Name | Michelle Lynn Beachkofsky |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457370405 PECOS PAC ID: 5496780009 Enrollment ID: I20161013002433 |
| Provider Name | Kevin Hart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457745838 PECOS PAC ID: 5799064390 Enrollment ID: I20161123001011 |
| Provider Name | Mark Miriello |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740662691 PECOS PAC ID: 7214217447 Enrollment ID: I20161206000607 |
| Provider Name | Cerina Leigh Buchanan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588031793 PECOS PAC ID: 0648571232 Enrollment ID: I20161228000431 |
| Provider Name | Rosemary Liao |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700258316 PECOS PAC ID: 0446553473 Enrollment ID: I20170406000211 |
| Provider Name | Ruhina Shemna |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609325646 PECOS PAC ID: 9032488846 Enrollment ID: I20170711002367 |
| Provider Name | Erin Fuchs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710017975 PECOS PAC ID: 8224187620 Enrollment ID: I20170816002638 |
| Provider Name | Stephanie Corbin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124545603 PECOS PAC ID: 6406113760 Enrollment ID: I20171122001151 |
| Provider Name | Jenna Lynn Roney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518484617 PECOS PAC ID: 5092072363 Enrollment ID: I20171122001921 |
| Provider Name | Chaz E. Truesdale |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770025298 PECOS PAC ID: 0345507430 Enrollment ID: I20171128000866 |
| Provider Name | Neha K Dalal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124432265 PECOS PAC ID: 0648495382 Enrollment ID: I20171129000195 |
| Provider Name | Jordan Demarco |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215389812 PECOS PAC ID: 5092009076 Enrollment ID: I20171129003273 |
| Provider Name | Tyler Mcclarnon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376093245 PECOS PAC ID: 0840557674 Enrollment ID: I20171201002089 |
| Provider Name | Morgan Neal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316464050 PECOS PAC ID: 9133481047 Enrollment ID: I20180312002544 |
| Provider Name | Jennifer D Idoni |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568700714 PECOS PAC ID: 3577717941 Enrollment ID: I20180430000536 |
| Provider Name | Cameron Conrad Black |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598168445 PECOS PAC ID: 0143578757 Enrollment ID: I20180730001604 |
| Provider Name | Marshall Evans Ward |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750803805 PECOS PAC ID: 8820346976 Enrollment ID: I20180806001796 |
| Provider Name | Alexandra Boldis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790209708 PECOS PAC ID: 0042562829 Enrollment ID: I20181004002990 |
| Provider Name | Nicole Yoder Rose |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881116093 PECOS PAC ID: 9032462601 Enrollment ID: I20181029001585 |
| Provider Name | Wen Ping David Shiau |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285120139 PECOS PAC ID: 9335493428 Enrollment ID: I20181107003259 |
| Provider Name | Megan Christine Boughman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871089714 PECOS PAC ID: 1658625660 Enrollment ID: I20181109002045 |
| Provider Name | Spencer Thomas Whitt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790265882 PECOS PAC ID: 1850645672 Enrollment ID: I20181114002374 |
| Provider Name | Caitlin Gabrielia Chanel Burwell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538649793 PECOS PAC ID: 7719231414 Enrollment ID: I20181115002450 |
| Provider Name | Kristin Schwab |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487157251 PECOS PAC ID: 2062777089 Enrollment ID: I20181116002692 |
| Provider Name | Gooya Goudarzi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598222457 PECOS PAC ID: 4789910076 Enrollment ID: I20190724002203 |
| Provider Name | Valerie K Cox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568402543 PECOS PAC ID: 4284961491 Enrollment ID: I20190812001037 |
| Provider Name | Meghan Luisa Dalziel Brooks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508414582 PECOS PAC ID: 2365773546 Enrollment ID: I20191021000780 |
| Provider Name | Amanda Marie Culler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902454937 PECOS PAC ID: 7618208802 Enrollment ID: I20191021000884 |
| Provider Name | Marc Musto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730555061 PECOS PAC ID: 9335470525 Enrollment ID: I20191021000959 |
| Provider Name | Sabah Mian |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427346212 PECOS PAC ID: 1850551128 Enrollment ID: I20191021001149 |
| Provider Name | Benjamin Mccray Taylor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235788795 PECOS PAC ID: 6103158324 Enrollment ID: I20191021002408 |
| Provider Name | Max Rumbach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063861961 PECOS PAC ID: 1052604923 Enrollment ID: I20191223000466 |
| Provider Name | Angela Petracca |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821517632 PECOS PAC ID: 1355609710 Enrollment ID: I20191231000259 |
| Provider Name | Marcus Aaron Hood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306058516 PECOS PAC ID: 2163463050 Enrollment ID: I20200102001458 |
| Provider Name | Joel Woods |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194215582 PECOS PAC ID: 8022442896 Enrollment ID: I20200102002606 |
| Provider Name | Pelashia Rhodes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972099919 PECOS PAC ID: 0042646598 Enrollment ID: I20200202000025 |
| Provider Name | Suet Mei Mak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174019160 PECOS PAC ID: 3870841414 Enrollment ID: I20200408000075 |
| Provider Name | Ruvina Ranasinghe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588163000 PECOS PAC ID: 8426390410 Enrollment ID: I20200408000766 |
| Provider Name | Elizabeth Ann Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518525013 PECOS PAC ID: 2466873740 Enrollment ID: I20200523000091 |
| Provider Name | Nicolas Vu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518525401 PECOS PAC ID: 5890117881 Enrollment ID: I20200619002380 |
| Provider Name | Jannifer Shin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376012534 PECOS PAC ID: 8921420712 Enrollment ID: I20200624001946 |
| Provider Name | Deborah Jessurun |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780162446 PECOS PAC ID: 1456605922 Enrollment ID: I20200715003111 |
| Provider Name | Nisma Gabr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437762176 PECOS PAC ID: 5496173668 Enrollment ID: I20200921001250 |
| Provider Name | Ali Jaffry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871119925 PECOS PAC ID: 7517387277 Enrollment ID: I20201019000962 |
| Provider Name | Caitlin Paige Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225654932 PECOS PAC ID: 1557771664 Enrollment ID: I20201030001803 |
| Provider Name | Kelci Walters |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518433796 PECOS PAC ID: 9436497005 Enrollment ID: I20210223002288 |
| Provider Name | Destiny Cherelle Mcduffie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740875293 PECOS PAC ID: 0648687921 Enrollment ID: I20210405000025 |
| Provider Name | Jasmine Suggs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538762992 PECOS PAC ID: 2062820194 Enrollment ID: I20210409000651 |
| Provider Name | Jennifer Wilcox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174570568 PECOS PAC ID: 8527065457 Enrollment ID: I20210518001955 |
| Provider Name | Kristen Taylor Jacobsen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780269969 PECOS PAC ID: 4486054632 Enrollment ID: I20210610000672 |
| Provider Name | Erika Lynn Ridgway |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780252510 PECOS PAC ID: 4183020688 Enrollment ID: I20210909000096 |
| Provider Name | Saidivya Komma |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447888979 PECOS PAC ID: 6002213444 Enrollment ID: I20210927003324 |
| Provider Name | Marissa Joan Ferris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740858257 PECOS PAC ID: 5092113555 Enrollment ID: I20211013002783 |
| Provider Name | Joo Choe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417974114 PECOS PAC ID: 5496766362 Enrollment ID: I20211102000155 |
| Provider Name | Ashley Marie Outar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760040760 PECOS PAC ID: 0648669226 Enrollment ID: I20211122000051 |
| Provider Name | Greyson Ramos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972272474 PECOS PAC ID: 3274923339 Enrollment ID: I20211203000036 |
| Provider Name | Tychnia Renee Madison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699351346 PECOS PAC ID: 7416349956 Enrollment ID: I20220113001324 |
| Provider Name | David Buterbaugh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124691092 PECOS PAC ID: 4284038951 Enrollment ID: I20220407001402 |
| Provider Name | Ilan Dock |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215508098 PECOS PAC ID: 6608279021 Enrollment ID: I20220426001278 |
| Provider Name | Qiaohui Wei White |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649910126 PECOS PAC ID: 0749669224 Enrollment ID: I20220614002859 |
| Provider Name | Hafeezah Omar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952856700 PECOS PAC ID: 4587090832 Enrollment ID: I20220912002097 |
| Provider Name | Rachel Nicole Werner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275155947 PECOS PAC ID: 4981089174 Enrollment ID: I20220925000000 |
| Provider Name | Cheryl Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912429622 PECOS PAC ID: 1254699168 Enrollment ID: I20221010000486 |
| Provider Name | Krista Roberts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609596287 PECOS PAC ID: 4587030424 Enrollment ID: I20221018003481 |
| Provider Name | Michelle Tran Nishku |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922664564 PECOS PAC ID: 3971838079 Enrollment ID: I20221111001557 |
| Provider Name | Hannah Bowser |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598419889 PECOS PAC ID: 7416325451 Enrollment ID: I20230404000429 |
| Provider Name | Mishali Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033848502 PECOS PAC ID: 8426433087 Enrollment ID: I20230501002556 |
| Provider Name | Jeffrey A Swafford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144330242 PECOS PAC ID: 6002803301 Enrollment ID: I20230511001168 |
| Provider Name | Natalya Sheppard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134534233 PECOS PAC ID: 8426367210 Enrollment ID: I20230526002525 |
| Provider Name | Brian Montgomery |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568516458 PECOS PAC ID: 6204101454 Enrollment ID: I20230602000750 |
| Provider Name | Heidi Volos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619753605 PECOS PAC ID: 0547615379 Enrollment ID: I20231013000507 |
| Provider Name | Pankti Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235915471 PECOS PAC ID: 8123473931 Enrollment ID: I20231016000015 |
| Provider Name | Barbara Van |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942819289 PECOS PAC ID: 1850797283 Enrollment ID: I20231027001947 |
| Provider Name | Melisa Kalac |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942905963 PECOS PAC ID: 5698123222 Enrollment ID: I20231121000918 |
| Provider Name | Rachel H Jhala |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497531446 PECOS PAC ID: 0941659023 Enrollment ID: I20231214001987 |
| Provider Name | Reem Asfour |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972127686 PECOS PAC ID: 6103248968 Enrollment ID: I20240126002309 |
| Provider Name | Julianne Grissom |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942827043 PECOS PAC ID: 3577965367 Enrollment ID: I20240314000751 |
| Provider Name | Mariam Khaled Jamal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407618796 PECOS PAC ID: 6406293802 Enrollment ID: I20240321000303 |
| Provider Name | Scott Bauer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558987354 PECOS PAC ID: 2163829920 Enrollment ID: I20240408000710 |
| Provider Name | William Cassidy Strange |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689313009 PECOS PAC ID: 0648619247 Enrollment ID: I20240416001008 |
| Mailing Address | Practice Location Address |
|---|---|
| Myeyedr 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Myeyedr 1960 Randolph Rd, Charlotte, NC 28207-1102 Ph: (704) 714-5338 |
Healthdrive Eye Care Group Optometrist Medicare: Medicare Enrolled Practice Location: 5960 Fairview Rd Ste 300, Charlotte, NC 28210 Phone: 888-964-6681 Fax: 888-662-0859 | |
Dr. Shemeeka L Mcfadden, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5330b South Blvd, Charlotte, NC 28217 Phone: 704-525-9802 Fax: 704-523-2862 | |
Dr. Nicolotte Zawilinski, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3061 N. Sharon Amity Rd., Suite A, Charlotte, NC 28205 Phone: 704-567-6755 | |
Spectrum Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 S College St Ste 307, Charlotte, NC 28202 Phone: 704-334-4444 Fax: 704-334-4441 | |
Insightful Eye Care, Doctors Of Optometry, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 4456 Randolph Rd, Charlotte, NC 28211 Phone: 704-365-6477 | |
Mrs. Stacy Levinson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7808 S Tryon St, Charlotte, NC 28273 Phone: 704-522-8000 | |
Paul Emmet Marvin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 135 S Sharon Amity Rd, Suite 100, Charlotte, NC 28211 Phone: 704-365-0555 Fax: 704-367-8124 |