Jacob W Letourneau (NPI# 1790985034, PAC ID# 3577657816) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1790985034 |
| PAC ID by PECOS | 3577657816 |
| Professional Enrollment ID | I20070918000464 |
| Full Name | Jacob W Letourneau |
| Organization Legal Name | RIDGEVIEW EYE CARE LLC |
| Address |
18122 W 119th St Olathe KS 66061-9532 |
| Phone Number | 9132618327 |
| Gender | M |
| Medical School | UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY |
| Graduation Year | 2007 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2668547621 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 831 Vermont St, Lawrence, KS 66044-2665 | 7858435665 | KENT E DOBBINS OD AND JACOB W LETOURNEAU OD PA |
| 18122 W 119th St, Olathe, KS 66061-9532 | 9132618327 | RIDGEVIEW EYE CARE LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 0% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 0% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 100% | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 2% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 2% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | RIDGEVIEW EYE CARE LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trent C Henderson | Optometry | Ridgeview Eye Care LLC | 18122 W 119th St, Olathe, KS 66061-9532 |
| Keri L Dennis | Optometry | Ridgeview Eye Care LLC | 18122 W 119th St, Olathe, KS 66061-9532 |
| Street Address |
18122 W 119TH ST |
| City | OLATHE |
| State | KS |
| Zip | 66061-9532 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trent C Henderson | Optometry | Ridgeview Eye Care LLC | 18122 W 119th St, Olathe, KS 66061-9532 |
| Keri L Dennis | Optometry | Ridgeview Eye Care LLC | 18122 W 119th St, Olathe, KS 66061-9532 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Fall | Psychologist, Clinical | Bph LLC | 11857 S Sunset Dr, Evergreen Community, Olathe, KS 66061-2794 |
| Michael J Mowery | Physical Therapy | 17800 W 106th St, Suite A, Olathe, KS 66061-2882 | |
| Devin Scott Morton | Chiropractic | 784 N Ridgeview Rd, Olathe, KS 66061-2900 | |
| Melissa Lee Hahn Price | Optometry | 792 N Ridgeview Rd, Olathe, KS 66061-2900 | |
| Catherina A Kelly | Clinical Social Worker | Johnson County Mental Health Center | 1125 W Spruce St, Olathe, KS 66061-3123 |
| Marsha A. Faubion | Nurse Practitioner | Johnson County Mental Health Center | 1125 W Spruce St, Olathe, KS 66061-3123 |
| Shiney Zcharia | Nurse Practitioner | Johnson County Mental Health Center | 1125 W Spruce St, Olathe, KS 66061-3123 |
| Samantha Cervetti | Clinical Social Worker | Johnson County Mental Health Center | 1125 W Spruce St, Olathe, KS 66061-3123 |
| Bethany L Allgeyer | Nurse Practitioner | Johnson County Mental Health Center | 1125 W Spruce St, Olathe, KS 66061-3123 |
| Ahmed Mohammed Maher | Psychiatry | Johnson County Mental Health Center | 1125 W Spruce St, Olathe, KS 66061-3123 |
| Find all physicians in zip 66061 | |||
| City | OLATHE |
| Zip Code | 66061 |
| Specialty | OPTOMETRY |
| City + Specialty | OLATHE + OPTOMETRY |
Please comment or provide details below to improve the information on Jacob W Letourneau.
| 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.