Angela D Iceberg (NPI# 1598787749, PAC ID# 2466516588) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1598787749 |
| PAC ID by PECOS | 2466516588 |
| Professional Enrollment ID | I20090204000030 |
| Full Name | Angela D Iceberg |
| Organization Legal Name | MEDICAL VILLAGE OPTICAL SHOPPE INC |
| Address |
31815 Southfield Rd Suite 12 Beverly Hills MI 48025-5471 |
| Phone Number | 2486452220 |
| Gender | F |
| Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
| Graduation Year | 1990 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8820991466 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 31815 Southfield Rd, Suite 12, Beverly Hills, MI 48025-5471 | 2486452220 | MEDICAL VILLAGE OPTICAL SHOPPE INC |
| Organization Legal Name | MEDICAL VILLAGE OPTICAL SHOPPE INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheldon D Stern | Ophthalmology | Medical Village Optical Shoppe Inc | 31815 Southfield Rd, Suite 12, Beverly Hills, MI 48025-5471 |
| Street Address |
31815 SOUTHFIELD RD SUITE 12 |
| City | BEVERLY HILLS |
| State | MI |
| Zip | 48025-5471 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheldon D Stern | Ophthalmology | Medical Village Optical Shoppe Inc | 31815 Southfield Rd, Suite 12, Beverly Hills, MI 48025-5471 |
| Indira C Misra Higgins | Dermatology | 31815 Southfield Rd, Suite 18, Beverly Hills, MI 48025-5471 | |
| Raymond J Hillenbrand | Chiropractic | 31815 Southfield Rd, Suite 17, Beverly Hills, MI 48025-5471 | |
| Sandra A Quigley | Clinical Social Worker | 31815 Southfield Rd, Suite 27, Beverly Hills, MI 48025-5471 | |
| Joel R Harms | Clinical Psychologist | 31815 Southfield Rd, Suite 31, Beverly Hills, MI 48025-5471 | |
| Deborah G Harms | Clinical Psychologist | Joel R Harms Phd and Deborah G Harms Phd PC | 31815 Southfield Rd, Suite 31, Beverly Hills, MI 48025-5471 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra Faye Johnson | Clinical Social Worker | 31000 Lasher Rd, Suite 8, Beverly Hills, MI 48025 | |
| Jonathan R Gupta | Diagnostic Radiology | Premier Medical Care PC | 32640 Whatley Rd, Franklin, MI 48025-1123 |
| Victoria T Tylenda Wong | Clinical Social Worker | 26111 W 14 Mile, 200b, Franklin, MI 48025-1168 | |
| Joseph S Allen | Psychologist, Clinical | 26111 W 14 Mile Rd, Suite 201c, Franklin, MI 48025-1168 | |
| Elana Goell Varkovitzky | Psychologist, Clinical | 26111 W 14 Mile Rd, Franklin, MI 48025-1168 | |
| Hava Schaver | Clinical Psychologist | 26111 W 14 Mile Rd, Suite 200c, Franklin, MI 48025-1171 | |
| Arti Madhavan | Family Medicine | 30625 Rushmore Cir, Franklin, MI 48025-1544 | |
| Ricardo Zabala Vinuya | Allergy/immunology | 32270 Telegraph Rd, Suite 175, Bingham Farms, MI 48025-2407 | |
| Marissa Elizabeth Baca | Hand Surgery | 32000 Telegraph Rd, Bingham Farms, MI 48025-2442 | |
| Joseph George Skender | Rheumatology | Oakland Arthritis Center PC | 32270 Telegraph Rd, Suite 120, Bingham Farms, MI 48025-2455 |
| Find all physicians in zip 48025 | |||
| City | BEVERLY HILLS |
| Zip Code | 48025 |
| Specialty | OPTOMETRY |
| City + Specialty | BEVERLY HILLS + OPTOMETRY |
Please comment or provide details below to improve the information on Angela D Iceberg.
| 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.