Benjamin Whittredge (NPI# 1407836968, PAC ID# 1355495425) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1407836968 |
| PAC ID by PECOS | 1355495425 |
| Professional Enrollment ID | I20101102000895 |
| Full Name | Benjamin Whittredge |
| Organization Legal Name | DOUGLAS E BALL OD PA |
| Address |
3120 N Plum St Southwind Eyecare Hutchinson KS 67502-2918 |
| Phone Number | 6206622355 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 2005 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9032165444 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3120 N Plum St, Southwind Eyecare, Hutchinson, KS 67502-2918 | 6206622355 | DOUGLAS E BALL OD PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 98% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 51% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99% |
| Organization Legal Name | DOUGLAS E BALL OD PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Joseph Lorson | Optometry | Douglas E Ball Od Pa | 3120 N Plum St, Southwind Eyecare, Hutchinson, KS 67502-2918 |
| Ron D Hansen | Optometry | Douglas E Ball Od Pa | 3120 N Plum St, Southwind Eyecare, Hutchinson, KS 67502-2918 |
| Street Address |
3120 N PLUM ST SOUTHWIND EYECARE |
| City | HUTCHINSON |
| State | KS |
| Zip | 67502-2918 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Joseph Lorson | Optometry | Douglas E Ball Od Pa | 3120 N Plum St, Southwind Eyecare, Hutchinson, KS 67502-2918 |
| Ron D Hansen | Optometry | Douglas E Ball Od Pa | 3120 N Plum St, Southwind Eyecare, Hutchinson, KS 67502-2918 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy B Ciskey | Nurse Practitioner | Hospice of Reno County Inc | 2020 N Waldron St, Suite 100, Hutchinson, KS 67502-1100 |
| Misty K Falco | Nurse Practitioner | Hospice of Reno County Inc | 2020 N Waldron St, Suite 100, Hutchinson, KS 67502-1100 |
| Shannon Leigh Horsch | Nurse Practitioner | Hospice of Reno County Inc | 2020 N Waldron St, Suite 100, Hutchinson, KS 67502-1100 |
| Bobbi L Schrag | Nurse Practitioner | Hospice of Reno County Inc | 2020 N Waldron St, Suite 100, Hutchinson, KS 67502-1100 |
| Heidi L Schultz | Certified Registered Nurse Anesthetist (crna) | Hutchinson Regional Medical Center Inc | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Terence Mcdonald | Internal Medicine | 1701 E, 23rd, Hutchinson, KS 67502-1105 | |
| Lindsay R Kornelson | Nurse Practitioner | Vep Hutchinson Emergency Medical Group LLC | 1701 E 23rd Ave, Hutchinson Regional Medical Center, Hutchinson, KS 67502-1105 |
| Michelle L Nelson | Certified Registered Nurse Anesthetist (crna) | Hutchinson Regional Medical Center Inc | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Jason Bdo Slack | Internal Medicine | Hutchinson Physicians Pa | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Rona K Gazaway | Diagnostic Radiology | Radiology Professionals of Hutchinson, LLC | 1701 E 23rd Ave, Hutchinson, KS 67502-1105 |
| Find all physicians in zip 67502 | |||
| City | HUTCHINSON |
| Zip Code | 67502 |
| Specialty | OPTOMETRY |
| City + Specialty | HUTCHINSON + OPTOMETRY |
Please comment or provide details below to improve the information on Benjamin Whittredge.
| 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.