Brett Sobieralski (NPI# 1649405218, PAC ID# 1254461601) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1649405218 |
| PAC ID by PECOS | 1254461601 |
| Professional Enrollment ID | I20110104000597 |
| Full Name | Brett Sobieralski |
| Organization Legal Name | CLARKSON OPTOMETRY ILLINOIS PC |
| Address |
10 Lincoln Hwy Suite 101 Fairview Heights IL 62208-2100 |
| Phone Number | 6186240222 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 2009 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7012292147 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10 Lincoln Hwy, Suite 101, Fairview Heights, IL 62208-2100 | 6186240222 | CLARKSON OPTOMETRY ILLINOIS PC |
| 12 Professional Park Dr, Maryville, IL 62062-5672 | 6182887266 | JFJ EYECARE LTD |
| 3248 Green Mount Crossing Dr, Shiloh, IL 62269-7284 | 6186246731 | CLARKSON OPTOMETRY ILLINOIS PC |
| Organization Legal Name | CLARKSON OPTOMETRY ILLINOIS PC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mindy Miller | Optometry | Clarkson Optometry Illinois PC | 2645 N Illinois St, Clarkson Eyecare, Swansea, IL 62226-2302 |
| Dana S Rozell | Optometry | Clarkson Optometry Illinois PC | 3405 Nameoki Rd A, Clarkson Eyecare, Granite City, IL 62040-3709 |
| Daniel A Wolf | Optometry | Clarkson Optometry Illinois PC | 103 Clintonian Plz, Breese, IL 62230-1501 |
| Jennifer Brave Rafati | Optometry | Clarkson Optometry Illinois PC | 2525 Green Mount Commons Dr, Suite 290, Belleville, IL 62221-6735 |
| Thomas J Johnson | Optometry | Clarkson Optometry Illinois PC | 1819 B Homer Adams Pkwy, Alton, IL 62002-5606 |
| Chad R Baker | Optometry | Clarkson Optometry Illinois PC | 6663 Edwardsville Crossing Dr B, Clarkson Eyecare, Edwardsville, IL 62025-2704 |
| Troy W Johnson | Optometry | Clarkson Optometry Illinois PC | 3000 Broadway St, Mount Vernon, IL 62864-2340 |
| Keith R Hamm | Optometry | Clarkson Optometry Illinois PC | 3248 Green Mount Crossing Dr, Shiloh, IL 62269-7284 |
| Jason Richard Diehl | Optometry | Clarkson Optometry Illinois PC | 1025 Columbia Ctr, Columbia, IL 62236-2546 |
| Becky L Rock | Optometry | Clarkson Optometry Illinois PC | 12603, 143 Clarkson Eyecare, Highland, IL 62249-1194 |
| Street Address |
10 LINCOLN HWY SUITE 101 |
| City | FAIRVIEW HEIGHTS |
| State | IL |
| Zip | 62208-2100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard C Derby | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Lowell G Sensintaffar | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Anthony Truong | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Tara Helfrich | Nurse Practitioner | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Bassim Assioun | Nephrology | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Erica P Criss | Nurse Practitioner | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Marc D Mccleary | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Kostantinos E Psihramis | Urology | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Nell Ann Schmits Hennon | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Mounir Mikhail Shenouda | Internal Medicine | Fairview Medical Group LLC | 331 Salem Pl, Suite 100, Fairview Heights, IL 62208-1340 |
| Find all physicians in zip 62208 | |||
| City | FAIRVIEW HEIGHTS |
| Zip Code | 62208 |
| Specialty | OPTOMETRY |
| City + Specialty | FAIRVIEW HEIGHTS + 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.