Robert O Kwon (NPI# 1437193844, PAC ID# 0840366886) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
Nation Provider ID (NPI) | 1437193844 |
PAC ID by PECOS | 0840366886 |
Professional Enrollment ID | I20090521000313 |
Full Name | Robert O Kwon |
Organization Legal Name | MARK A. LATINA |
Address |
20 Pondmeadow Dr Suite 203 Reading MA 01867-3261 |
Phone Number | 7819429876 |
Gender | M |
Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
Graduation Year | 2004 |
Primary Specialty | OPHTHALMOLOGY |
Group Practice PAC ID | 2567435019 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
220029 | ANNA JAQUES HOSPITAL |
220010 | LAWRENCE GENERAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
360 Merrimack St, Bldg 9 Entrance I, Lawrence, MA 01843-1740 | 9786886182 | TALLMAN EYE ASSOCIATES, PC |
360 Merrimack St, Suite 9, Lawrence, MA 01843-1764 | 9786886182 | TALLMAN EYE BIDCO |
20 Pondmeadow Dr, Suite 203, Reading, MA 01867-3261 | 7819429876 | MARK A. LATINA |
Organization Legal Name | MARK A. LATINA |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christopher C Robinson | Ophthalmology | Mark A. Latina | 607 N Ave, Suite 15, Wakefield, MA 01880-1322 |
Edward A Ryan | Ophthalmology | Mark A. Latina | 20 Pondmeadow Dr, Suite 203, Reading, MA 01867-3261 |
Chantal Mccarron | Optometry | Mark A. Latina | 20 Pondmeadow Dr, Suite 203, Reading, MA 01867-3261 |
Vicki S Kvedar | Ophthalmology | Mark A. Latina | 20 Pondmeadow Dr, Suite 203, Reading, MA 01867-3261 |
Mark A Latina | Ophthalmology | Mark A. Latina | 20 Pondmeadow Dr, Suite 203, Reading, MA 01867-3261 |
Street Address |
20 PONDMEADOW DR SUITE 203 |
City | READING |
State | MA |
Zip | 01867-3261 |
Name | Specialty | Organization | Address |
---|---|---|---|
Edward A Ryan | Ophthalmology | Mark A. Latina | 20 Pondmeadow Dr, Suite 203, Reading, MA 01867-3261 |
Chantal Mccarron | Optometry | Mark A. Latina | 20 Pondmeadow Dr, Suite 203, Reading, MA 01867-3261 |
Vicki S Kvedar | Ophthalmology | Mark A. Latina | 20 Pondmeadow Dr, Suite 203, Reading, MA 01867-3261 |
Mark A Latina | Ophthalmology | Mark A. Latina | 20 Pondmeadow Dr, Suite 203, Reading, MA 01867-3261 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kathleen M Barry | Physical Therapy | 1321 Main St, Reading, MA 01867-1100 | |
Sherry A Graham | Family Medicine | Winchester Physician Associates Inc | 46 Woburn St, Reading, MA 01867-2901 |
Laura J Conwell | Nurse Practitioner | Winchester Physician Associates Inc | 46 Woburn St, Reading, MA 01867-2901 |
Michele Abu | Clinical Social Worker | 36 Woburn St, Suite 6, Reading, MA 01867-2903 | |
Lynn B Hallen | Clinical Social Worker | 36 Woburn St, Suite 6, Reading, MA 01867-2903 | |
Judith A Carpentier | Obstetrics/gynecology | 107 Woburn St, Reading, MA 01867-2907 | |
Eugene T Oleary | Optometry | 70 Haven St, Reading, MA 01867-2929 | |
Caroline Gauthier | Podiatry | 50 Haven St, Reading, MA 01867-2929 | |
Timothy B Donovan | Chiropractic | 2 Haven St, Suite 305, Reading, MA 01867-2961 | |
Katherine Boyle | Clinical Social Worker | 36 Woburn St, Reading, MA 01867-2973 | |
Find all physicians in zip 01867 |
City | READING |
Zip Code | 01867 |
Specialty | OPHTHALMOLOGY |
City + Specialty | READING + OPHTHALMOLOGY |
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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.