Mark Breeden (NPI# 1063747145, PAC ID# 3678746302) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1063747145 |
| PAC ID by PECOS | 3678746302 |
| Professional Enrollment ID | I20111025000651 |
| Full Name | Mark Breeden |
| Organization Legal Name | ATLAS EYE GROUP LLC |
| Address |
7826 Sw Capitol Hwy Portland OR 97219-2466 |
| Phone Number | 5032447788 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2011 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3678864121 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7826 Sw Capitol Hwy, Portland, OR 97219-2466 | 5032447788 | ATLAS EYE GROUP LLC |
| Organization Legal Name | ATLAS EYE GROUP LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey R Rosencrans | Optometry | Atlas Eye Group LLC | 226 Historical Columbia River Hwy, Troutdale, OR 97060-2069 |
| Joseph C Beattie | Optometry | Atlas Eye Group LLC | 7826 Sw Capitol Hwy, Portland, OR 97219-2466 |
| Street Address |
7826 SW CAPITOL HWY |
| City | PORTLAND |
| State | OR |
| Zip | 97219-2466 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph C Beattie | Optometry | Atlas Eye Group LLC | 7826 Sw Capitol Hwy, Portland, OR 97219-2466 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Kuppenbender Kong | Nurse Practitioner | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Gregory P Blosser | Physical Therapy | Therapeutic Associates Inc | 4415 Sw Vermont St, Portland, OR 97219-1020 |
| Elizabeth Steiner Hayward | Family Medicine | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Ann G Tseng | Family Medicine | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Kendrick Mk Lau | Family Medicine | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Ruth Christiansen | Physician Assistant | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Leah C Werner | Family Medicine | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Sarah Skog | Family Medicine | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Ella Clark Nicholson | Physician Assistant | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Sarah S Owens | Clinical Social Worker | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Find all physicians in zip 97219 | |||
| City | PORTLAND |
| Zip Code | 97219 |
| Specialty | OPTOMETRY |
| City + Specialty | PORTLAND + OPTOMETRY |
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| 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.