Harvey D Mack (NPI# 1386692630, PAC ID# 1052322468) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1386692630 |
| PAC ID by PECOS | 1052322468 |
| Professional Enrollment ID | I20060524000160 |
| Full Name | Harvey D Mack |
| Organization Legal Name | PRAIRIE EYE CENTER, LTD |
| Address |
106 E Main St Beardstown IL 62618-1241 |
| Phone Number | 2173231146 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 1987 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6507779824 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 106 E Main St, Beardstown, IL 62618-1241 | 2173231146 | PRAIRIE EYE CENTER, LTD |
| 2020 W Iles Ave, Springfield, IL 62704-4174 | 2176983030 | PRAIRIE EYE CENTER, LTD |
| Organization Legal Name | PRAIRIE EYE CENTER, LTD |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaylyn Marie Nickelson | Optometry | Prairie Eye Center, Ltd | 518 Broadway St, Lincoln, IL 62656-2706 |
| Monica Ryan | Optometry | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Brian M Moore | Optometry | Prairie Eye Center, Ltd | 200 E Mechanic, Hillsboro, IL 62049-2007 |
| Jennifer M Waller | Optometry | Prairie Eye Center, Ltd | 130 W Ctr St, Girard, IL 62640-1222 |
| Emily Marie Beyer | Optometry | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Anne P Rowland | Ophthalmology | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Chelsey M Moore | Optometry | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Tyson J Herrmann | Optometry | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Mohamed G Gendy | Ophthalmology | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Fahad Habib Khan | Ophthalmology | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Street Address |
106 E MAIN ST |
| City | BEARDSTOWN |
| State | IL |
| Zip | 62618-1241 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitchell E Zigler | Physical Therapy | 106 E Main St, Spring Arbor, MI 49283-9701 | |
| Brent M Boyce | Dermatology | Brent M Boyce Md PC | 106 E Main St, Sebewaing, MI 48759-1568 |
| Michael G Rademacher | Chiropractic | 106 E Main St, Mount Olive, IL 62069-1702 | |
| Elizabeth R Heideman | Optometry | Prairie Eye Center, Ltd | 106 E Main St, Beardstown, IL 62618-1241 |
| Paul Kowalski | Ophthalmology | Prairie Eye Center, Ltd | 106 E Main St, Beardstown, IL 62618-1241 |
| Sara Marie Siebert | Optometry | Prairie Eye Center, Ltd | 106 E Main St, Beardstown, IL 62618-1241 |
| Glenn I Goldring | Optometry | 106 E Main St, Senatobia, MS 38668-2138 | |
| Kerrie Mcfeeters | Nurse Practitioner | Reliant Medical Group, Inc | 106 E Main St, Westboro, MA 01581-1494 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Ellyn Cox | Chiropractic | 215 E 2nd St, Beardstown, IL 62618-1222 | |
| Philip I Woerner | Psychiatry | 121 E 2nd St, Beardstown, IL 62618-1263 | |
| Rochelle L Briney | Clinical Social Worker | Cass County Mental Health Assoc | 121 E 2nd St, Beardstown, IL 62618-1263 |
| Cathy E Rigg | Clinical Social Worker | Schuyler County Hospital District | 100 W 15th St, Beardstown, IL 62618-1774 |
| Abdul W Royeen | Family Medicine | Cass County Public Health Dept | 8590 Saint Lukes Dr, Beardstown, IL 62618-8398 |
| Dirck Curry | Family Medicine | Cass County Public Health Dept | 8590 Saint Lukes Dr, Beardstown, IL 62618-8398 |
| City | BEARDSTOWN |
| Zip Code | 62618 |
| Specialty | OPTOMETRY |
| City + Specialty | BEARDSTOWN + OPTOMETRY |
Please comment or provide details below to improve the information on Harvey D Mack.
| 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.