Shelby G Wickhorst (NPI# 1982790721, PAC ID# 2062566300) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1982790721 |
| PAC ID by PECOS | 2062566300 |
| Professional Enrollment ID | I20090820000402 |
| Full Name | Shelby G Wickhorst |
| Organization Legal Name | SHELBY WICKHORST OD PC |
| Address |
1901 Ne 162nd Ave D Vancouver WA 98684-3022 |
| Phone Number | 3609441911 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1999 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8527114677 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1901 Ne 162nd Ave D, Vancouver, WA 98684-3022 | 3609441911 | SHELBY WICKHORST OD PC |
| 1901 Ne 162nd Ave D, 102 Vision 162, Vancouver, WA 98684-3022 | 3609441911 | SHELBY WICKHORST OD PC |
| Organization Legal Name | SHELBY WICKHORST OD PC |
| Physicians | 1 |
| Street Address |
1901 NE 162ND AVE D |
| City | VANCOUVER |
| State | WA |
| Zip | 98684-3022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent G Barker | Podiatry | 18007 Ne 26th St, Vancouver, WA 98684-0735 | |
| Kim Forgione | Optometry | 1900 Ne 162nd Ave, Suite D103, Vancouver, WA 98684-3015 | |
| Timothy F Vrtiska | Ophthalmology | University Professional Services | 312 Se Stonemill Dr, Suite 150, Vancouver, WA 98684-3547 |
| Daniel L Gradin | Ophthalmology | University Professional Services | 312 Se Stonemill Dr, Suite 150, Vancouver, WA 98684-3547 |
| Bei Wang | Internal Medicine | Kaiser Foundation Health Plan of The Northwest | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-4098 |
| Connie Y Kuo | Otolaryngology | Kaiser Foundation Health Plan of The Northwest | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-4098 |
| Kerry A Matthews | Family Medicine | Kaiser Foundation Health Plan of The Northwest | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-4098 |
| Juan E Munoz Oca | Family Medicine | Kaiser Foundation Health Plan of The Northwest | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-4098 |
| Khurram Naqvi | Internal Medicine | Kaiser Foundation Health Plan of The Northwest | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-4098 |
| Dawnrenee Cinocco | Internal Medicine | Kaiser Foundation Health Plan of The Northwest | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-4098 |
| Find all physicians in zip 98684 | |||
| City | VANCOUVER |
| Zip Code | 98684 |
| Specialty | OPTOMETRY |
| City + Specialty | VANCOUVER + OPTOMETRY |
Please comment or provide details below to improve the information on Shelby G Wickhorst.
| 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.