Michael Sebastian Spencer (NPI# 1245688308, PAC ID# 1052601721) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1245688308 |
| PAC ID by PECOS | 1052601721 |
| Professional Enrollment ID | I20160608001855 |
| Full Name | Michael Sebastian Spencer |
| Organization Legal Name | SALEM EYE CLINIC LLC |
| Address |
400 N Broadway Salem IL 62881-1514 |
| Phone Number | 6185483506 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 2016 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1456386697 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 400 N Broadway, Salem, IL 62881-1514 | 6185483506 | SALEM EYE CLINIC LLC |
| Organization Legal Name | SALEM EYE CLINIC LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alan D Montgomery | Optometry | Salem Eye Clinic LLC | 400 N Broadway, Salem, IL 62881-1514 |
| Elizabeth J Wolff | Optometry | Salem Eye Clinic LLC | 400 N Broadway, Salem, IL 62881-1514 |
| Jessie Crabtree | Optometry | Salem Eye Clinic LLC | 400 N Broadway, Salem, IL 62881-1514 |
| Street Address |
400 N BROADWAY |
| City | SALEM |
| State | IL |
| Zip | 62881-1514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret L Aguilar | Clinical Social Worker | 400 N Broadway, Lucy's Counseling Service, Truth Or Consequences, NM 87904-2836 | |
| Daniel Eric Milejczak | Physical Therapy | Foley Physical Rehab Inc. | 400 N Broadway, Foley, MN 56329-8739 |
| Vishal Saggar | Dermatology | Cloudlake Dermatology, Pllc | 400 N Broadway, Jericho, NY 11753-2113 |
| Tonya Sue Milejczak | Physical Therapy | Foley Physical Rehab Inc. | 400 N Broadway, Foley, MN 56329-8739 |
| Alan D Montgomery | Optometry | Salem Eye Clinic LLC | 400 N Broadway, Salem, IL 62881-1514 |
| Laureen K Bollmeyer | Physical Therapy | Foley Physical Rehab Inc. | 400 N Broadway, Foley, MN 56329-8739 |
| Elizabeth J Wolff | Optometry | Salem Eye Clinic LLC | 400 N Broadway, Salem, IL 62881-1514 |
| Sarika Banker | Dermatology | Cloudlake Dermatology, Pllc | 400 N Broadway, Jericho, NY 11753-2113 |
| Jessie Crabtree | Optometry | Salem Eye Clinic LLC | 400 N Broadway, Salem, IL 62881-1514 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy L Mclean | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 1275 Hawthorn Rd, Salem, IL 62881-1028 |
| Aristides Juan Garces | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 1275 Hawthorn Rd, Salem, IL 62881-1028 |
| Paul B Williams IIi | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 1275 Hawthorn Rd, Salem, IL 62881-1028 |
| Preecha Tawjareon | Diagnostic Radiology | 815 W Main St, Salem, IL 62881-1408 | |
| Shanda C Swagler | Nurse Practitioner | Southern Illinois Dermatology, PC | 100 W Main St, Salem, IL 62881-1500 |
| Doris A Els | Optometry | 121 N Broadway, Salem, IL 62881-1509 | |
| Richard D Smith | Chiropractic | 322 W Schwartz St, Salem, IL 62881-1550 | |
| Anton J Dubrick | Family Medicine | 420 W Schwartz St, Salem, IL 62881-1552 | |
| Michael R Bowman | Chiropractic | Bowman Chiropractic PC | 202 S Broadway, Salem, IL 62881-1612 |
| Kyleigh Shatelle Vincent | Chiropractic | Vincent Chiropractic Sc | 120 S Delmar Ave, Suite B, Salem, IL 62881-2000 |
| Find all physicians in zip 62881 | |||
| City | SALEM |
| Zip Code | 62881 |
| Specialty | OPTOMETRY |
| City + Specialty | SALEM + OPTOMETRY |
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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.