Jeffrey E Smith (NPI# 1952461352, PAC ID# 1355399957) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1952461352 |
| PAC ID by PECOS | 1355399957 |
| Professional Enrollment ID | I20050111000269 |
| Full Name | Jeffrey E Smith |
| Organization Legal Name | ANDOVER OPTICAL INC |
| Address |
13855 Round Lake Blvd Nw Andover MN 55304-3664 |
| Phone Number | 7634210141 |
| Gender | M |
| Credential | OD |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1971 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8022061993 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 13855 Round Lake Blvd Nw, Andover, MN 55304-3664 | 7634210141 | ANDOVER OPTICAL INC |
| Organization Legal Name | ANDOVER OPTICAL INC |
| Physicians | 1 |
| Street Address |
13855 ROUND LAKE BLVD NW |
| City | ANDOVER |
| State | MN |
| Zip | 55304-3664 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Henning | Chiropractic | 1573 154th Ave Nw, Suite 102, Andover, MN 55304-2696 | |
| Divina F. Bikeri | Nurse Practitioner | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Andrea D Bergstrom | Nurse Practitioner | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Jessica L Kenser | Nurse Practitioner | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| David L Wineinger | Pediatric Medicine | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Kamrie A Parrott | Nurse Practitioner | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Susan L Demorlis | Registered Dietitian Or Nutrition Professional | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Patricia A Herbert | Family Medicine | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Sherry M Marinello | Physician Assistant | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Celerina Gonzalez | Family Medicine | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Find all physicians in zip 55304 | |||
| City | ANDOVER |
| Zip Code | 55304 |
| Specialty | OPTOMETRY |
| City + Specialty | ANDOVER + 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.