Jason Street (NPI# 1467511105, PAC ID# 3173629367) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1467511105 |
| PAC ID by PECOS | 3173629367 |
| Professional Enrollment ID | I20070504000152 |
| Full Name | Jason Street |
| Organization Legal Name | DRS SAGO AND STREET EYECARE LLC |
| Address |
102 Westmount Dr Farmington MO 63640-2970 |
| Phone Number | 5737563170 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 2000 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5698872000 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 102 Westmount Dr, Farmington, MO 63640-2970 | 5737563170 | DRS SAGO AND STREET EYECARE LLC |
| Organization Legal Name | DRS SAGO AND STREET EYECARE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelton Keith Sago | Optometry | Drs Sago and Street Eyecare LLC | 102 Westmount Dr, Farmington, MO 63640-2970 |
| Street Address |
102 WESTMOUNT DR |
| City | FARMINGTON |
| State | MO |
| Zip | 63640-2970 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelton Keith Sago | Optometry | Drs Sago and Street Eyecare LLC | 102 Westmount Dr, Farmington, MO 63640-2970 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa R Long | Chiropractic | 307 E E Karsch Blvd, Farmington, MO 63640-1203 | |
| Abraham Ray Renaud | Chiropractic | Desired Health Chiropractic, LLC | 134 W Pine St, Farmington, MO 63640-1403 |
| Adam P Overcast | Chiropractic | Desired Health Chiropractic, LLC | 134 W Pine St, Farmington, MO 63640-1403 |
| Kathryn S Wiles | Physical Therapy | Aegis Group Practice LLC | 502 W Pine St, Farmington, MO 63640-1426 |
| Paula S Alvarez | Clinical Social Worker | Mineral Area Community Psychiatric Rehabilitation Center, Inc. | 560 W Pine St, Farmington, MO 63640-1426 |
| Christopher John Donze | Physical Therapy | Aegis Group Practice LLC | 502 W Pine St, Farmington, MO 63640-1426 |
| Bonnie L Hartrup | Clinical Social Worker | Mineral Area Community Psychiatric Rehabilitation Center, Inc. | 560 W Pine St, Farmington, MO 63640-1426 |
| Steven Wade | Qualified Audiologist | Sound Health Services PC | 501 W Pine St, Farmington, MO 63640-1439 |
| Gina L Heberlie | Nurse Practitioner | Midwest Health Group, LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Robin L Gipson | Clinical Social Worker | Hope and Healing Counseling Center LLC | 555 W Pine St, Farmington, MO 63640-1439 |
| Find all physicians in zip 63640 | |||
| City | FARMINGTON |
| Zip Code | 63640 |
| Specialty | OPTOMETRY |
| City + Specialty | FARMINGTON + OPTOMETRY |
Please comment or provide details below to improve the information on Jason Street.
| 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.