Dexter Street (NPI# 1962464156, PAC ID# 1254542665) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1962464156 |
PAC ID by PECOS | 1254542665 |
Professional Enrollment ID | I20110309000135 |
Full Name | Dexter Street |
Address |
913 Worth St Mount Airy NC 27030-4459 |
Phone Number | 3367868828 |
Gender | M |
Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
Graduation Year | 1984 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
913 Worth St, Mount Airy, NC 27030-4459 | 3367868828 |
Street Address |
913 WORTH ST |
City | MOUNT AIRY |
State | NC |
Zip | 27030-4459 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kimberly Bowers | Clinical Social Worker | Daymark Recovery Services Inc | 847 W Lake Dr, Mount Airy, NC 27030-2157 |
Nicholas T Kipreos | Family Medicine | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
Mark A Dodd | Family Medicine | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
Alison L Shiminski | Physician Assistant | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
Michelle Combs | Physician Assistant | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
Emily S Epling | Physician Assistant | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
Elizabeth A Casstevens | Nurse Practitioner | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
Jamie S Raymond | Nurse Practitioner | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
Linda M Gatchel | Clinical Social Worker | Daymark Recovery Services Inc | 847 W Lake Dr, Mount Airy, NC 27030-2157 |
Frantz E Pierre | Psychiatry | Daymark Recovery Services Inc | 847 W Lake Dr, Mount Airy, NC 27030-2157 |
Find all physicians in zip 27030 |
City | MOUNT AIRY |
Zip Code | 27030 |
Specialty | OPTOMETRY |
City + Specialty | MOUNT AIRY + OPTOMETRY |
Please comment or provide details below to improve the information on Dexter Street.
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.