Thad Dustin Wells (NPI# 1467681395, PAC ID# 0840345609) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1467681395 |
| PAC ID by PECOS | 0840345609 |
| Professional Enrollment ID | I20090831000137 |
| Full Name | Thad Dustin Wells |
| Address |
105 Robins Way Suite 206 Russellville KY 42276-1129 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 2009 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 105 Robins Way, Suite 206, Russellville, KY 42276-1129 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% |
| Street Address |
105 ROBINS WAY SUITE 206 |
| City | RUSSELLVILLE |
| State | KY |
| Zip | 42276-1129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darla S Barrow | Optometry | 102 Armory Dr, Russellville, KY 42276-1602 | |
| Amanda S Higdon | Optometry | 102 Armory Dr, Russellville, KY 42276-1602 | |
| Keith A Jones | Chiropractic | 178 E 4th St, Russellville, KY 42276-1820 | |
| Bill D Webb | Optometry | 603 E 4th St, Russellville, KY 42276-1857 | |
| James C Dodson | Internal Medicine | Logan Physician Practice LLC | 147 E 5th St, Russellville, KY 42276-1903 |
| Stuart W Larson | Psychiatry | Lifeskills, Inc | 237 E 6th St, Russellville, KY 42276-1917 |
| Tonya Norris Ballard | Clinical Social Worker | Lifeskills, Inc | 237 E 6th St, Russellville, KY 42276-1917 |
| Lorri L Houck | Nurse Practitioner | Lifeskills, Inc | 237 E 6th St, Russellville, KY 42276-1917 |
| Laura A Gaines | Clinical Social Worker | Lifeskills, Inc | 237 E 6th St, Russellville, KY 42276-1917 |
| Alice Stiles | Clinical Social Worker | Lifeskills, Inc | 237 E 6th St, Russellville, KY 42276-1917 |
| Find all physicians in zip 42276 | |||
| City | RUSSELLVILLE |
| Zip Code | 42276 |
| Specialty | OPTOMETRY |
| City + Specialty | RUSSELLVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on Thad Dustin Wells.
| 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.