Jacqui Botkin (NPI# 1134103955, PAC ID# 1850325838) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1134103955 |
| PAC ID by PECOS | 1850325838 |
| Professional Enrollment ID | I20050920000259 |
| Full Name | Jacqui Botkin |
| Organization Legal Name | WESTON LASER AND VISION INSTITUTE, INC |
| Address |
10650 W State Rd Davie FL 33324-4235 |
| Phone Number | 9544969151 |
| Gender | M |
| Credential | OD |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1981 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9234282161 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 10650 W State Rd, Davie, FL 33324-4235 | 9544969151 | WESTON LASER AND VISION INSTITUTE, INC |
| 10650 W State Rd, 84 Suite 100, Davie, FL 33324-4235 | 9544969151 | WESTON LASER AND VISION INSTITUTE, INC |
| 2625 Executive Park Dr, Weston, FL 33331-3634 | 9546599051 | WESTON LASER AND VISION INSTITUTE, INC |
| 2625 Executive Park Dr, Suite 4, Weston, FL 33331-3634 | 9546599051 | WESTON LASER AND VISION INSTITUTE, INC |
| Organization Legal Name | WESTON LASER AND VISION INSTITUTE, INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Srini Mutyala | Ophthalmology | Weston Laser and Vision Institute, Inc | 4300 W Oakland Park, Lauderdale, FL 33313-1918 |
| David Silver | Optometry | Weston Laser and Vision Institute, Inc | 2625 Executive Park Dr, Suite 4, Weston, FL 33331-3634 |
| Brian D Bryan | Optometry | Weston Laser and Vision Institute, Inc | 2625 Executive Park Dr, Suite 4, Weston, FL 33331-3634 |
| Street Address |
10650 W STATE RD |
| City | DAVIE |
| State | FL |
| Zip | 33324-4235 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Nater Pineiro | Neurology | Neuroscience Consultants LLP | 10650 W State Rd, 84 Suite 211, Davie, FL 33324-4235 |
| Jeffrey M Steinberg | Neurology | Neuroscience Consultants LLP | 10650 W State Rd, 84 Suite 211, Davie, FL 33324-4235 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David E Yachter | Chiropractic | 10189 Cleary Blvd, Suite 103, Plantation, FL 33324-1027 | |
| Jeffrey E Sager | Optometry | Jeffrey E Sager Od Pa | 823 N Nob Hill Rd, Plantation, FL 33324-1038 |
| Candice Mansito | Optometry | Jeffrey E Sager Od Pa | 823 N Nob Hill Rd, Plantation, FL 33324-1038 |
| Robert S Leshaw | Chiropractic | 10063 Cleary Blvd, Plantation, FL 33324-1063 | |
| Abram Berens | Family Medicine | 969 N Nob Hill Rd, Plantation, FL 33324-1078 | |
| Ivy Lawson | Diagnostic Radiology | West Hudson Imaging Associates Pllc | 10781 Nw 5th St, Plantation, FL 33324-1518 |
| Mark Herman | Chiropractic | 301 Nw84th Ave, Suite 301, Plantation, FL 33324-1807 | |
| Gail G Bonner | Internal Medicine | Metcare of Florida Inc | 301 Nw 84th Ave, 101 Metcare of Plantation, Plantation, FL 33324-1807 |
| Alejandro R Luna | Internal Medicine | Metcare of Florida Inc | 301 Nw 84th Ave, 101 Metcare of Plantation, Plantation, FL 33324-1807 |
| Kim R Nickelson | Internal Medicine | Metcare of Florida Inc | 301 Nw 84th Ave, 101 Metcare of Plantation, Plantation, FL 33324-1807 |
| Find all physicians in zip 33324 | |||
| City | DAVIE |
| Zip Code | 33324 |
| Specialty | OPTOMETRY |
| City + Specialty | DAVIE + 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.