Mitchell E Pebley (NPI# 1710115332, PAC ID# 2062554421) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1710115332 |
| PAC ID by PECOS | 2062554421 |
| Professional Enrollment ID | I20100122000438 |
| Full Name | Mitchell E Pebley |
| Organization Legal Name | ABSOLUTE VISION |
| Address |
4645 S Midland Dr Suite A West Haven UT 84401-6824 |
| Phone Number | 8017328200 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2009 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1254518152 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3475 Harrison Blvd, Ogden, UT 84403-1230 | 8013948885 | OGDEN VISION CENTER |
| 4645 S Midland Dr, Suite A, West Haven, UT 84401-6824 | 8017328200 | ABSOLUTE VISION |
| Organization Legal Name | ABSOLUTE VISION |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandra Christine Gutierrez | Optometry | Absolute Vision | 4645 S Midland Dr, Suite A, West Haven, UT 84401-6824 |
| Matthew L Watson | Optometry | Absolute Vision | 4645 S Midland Dr, Suite A, West Haven, UT 84401-6824 |
| Street Address |
4645 S MIDLAND DR SUITE A |
| City | WEST HAVEN |
| State | UT |
| Zip | 84401-6824 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexandra Christine Gutierrez | Optometry | Absolute Vision | 4645 S Midland Dr, Suite A, West Haven, UT 84401-6824 |
| Matthew L Watson | Optometry | Absolute Vision | 4645 S Midland Dr, Suite A, West Haven, UT 84401-6824 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Lowell Gochnour | Family Medicine | 477 23rd St, Ogden, UT 84401-1507 | |
| Kathryn M Evans | Physician Assistant | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
| Stanley T Graham | Family Medicine | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
| Amanda Gougler | Physician Assistant | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
| Tyler James D'hulst | Physician Assistant | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
| Cristina A Regalado | Physician Assistant | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
| Mark D Housley | Family Medicine | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
| Richard J Gregoire | Family Medicine | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
| Tiffanie A Haun | Nurse Practitioner | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
| Jack Crosland | Orthopedic Surgery | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
| Find all physicians in zip 84401 | |||
| City | WEST HAVEN |
| Zip Code | 84401 |
| Specialty | OPTOMETRY |
| City + Specialty | WEST HAVEN + OPTOMETRY |
Please comment or provide details below to improve the information on Mitchell E Pebley.
| 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.