Sally Hacking (NPI# 1609982271, PAC ID# 1153399761) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1609982271 |
| PAC ID by PECOS | 1153399761 |
| Professional Enrollment ID | I20040923001241 |
| Full Name | Sally Hacking |
| Organization Legal Name | MADISON CLINIC OPTOMETRY, P.C. |
| Address |
244 E Main St Rexburg ID 83440-2022 |
| Phone Number | 2083591880 |
| Gender | F |
| Credential | OD |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2001 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8426026030 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 244 E Main St, Rexburg, ID 83440-2022 | 2083591880 | MADISON CLINIC OPTOMETRY, P.C. |
| Organization Legal Name | MADISON CLINIC OPTOMETRY, P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dallin Heiner | Optometry | Madison Clinic Optometry, P.C. | 244 E Main St, Rexburg, ID 83440-2022 |
| Street Address |
244 E MAIN ST |
| City | REXBURG |
| State | ID |
| Zip | 83440-2022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dallin Heiner | Optometry | Madison Clinic Optometry, P.C. | 244 E Main St, Rexburg, ID 83440-2022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig Benjamin Ashby | Chiropractic | 16 S 1st, Rexburg, ID 83440-0303 | |
| Adriann J Wilcox | Nurse Practitioner | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Corey T Rammell | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Joseph E Watson | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Matheau G Eysser | Orthopedic Surgery | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Zachery M Brunson | Physician Assistant | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Charles J Zollinger | Family Medicine | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Rex Meredith | Physician Assistant | Madison Co Memorial Hospital | 393 E 2nd, Rexburg, ID 83440-1605 |
| Wade D Gordon | Clinical Social Worker | 310 N 2nd E, 112 South Fork Services, Rexburg, ID 83440-1606 | |
| Jody B Rawlings | Physical Therapy | 217 N 2nd, Rexburg, ID 83440-1621 | |
| Find all physicians in zip 83440 | |||
| City | REXBURG |
| Zip Code | 83440 |
| Specialty | OPTOMETRY |
| City + Specialty | REXBURG + OPTOMETRY |
Please comment or provide details below to improve the information on Sally Hacking.
| 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.