Mindy M Hagstrom (NPI# 1669799664, PAC ID# 3678769346) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1669799664 |
| PAC ID by PECOS | 3678769346 |
| Professional Enrollment ID | I20101119000615 |
| Full Name | Mindy M Hagstrom |
| Organization Legal Name | PEARSON EYECARE GROUP, LLC |
| Address |
6555 E Southern Ave Suite 1508 Mesa AZ 85206-3724 |
| Phone Number | 4809643542 |
| Gender | F |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2009 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5991693749 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6555 E Southern Ave, Suite 1508, Mesa, AZ 85206-3724 | 4809643542 | PEARSON EYECARE GROUP, LLC |
| Organization Legal Name | PEARSON EYECARE GROUP, LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annalee N Nix | Optometry | Pearson Eyecare Group, LLC | 6555 E Southern Ave, Suite 1508, Mesa, AZ 85206-3724 |
| Ljiljana Aleksic | Optometry | Pearson Eyecare Group, LLC | 1831 E Camelback Rd, Suite B2, Phoenix, AZ 85016-4162 |
| Kerry K Pearson | Optometry | Pearson Eyecare Group, LLC | 1649 S Stapley Dr, Suite 108, Mesa, AZ 85204-6649 |
| Jacquelyn None Wyman | Optometry | Pearson Eyecare Group, LLC | 1649 S Stapley Dr, Suite 108, Mesa, AZ 85204-6649 |
| Marisa E Beebe | Optometry | Pearson Eyecare Group, LLC | 6555 E Southern Ave, Suite 1508, Mesa, AZ 85206-3724 |
| Justin B Macklin | Optometry | Pearson Eyecare Group, LLC | 1831 E Camelback Rd, Suite B2, Phoenix, AZ 85016-4162 |
| Lisa T Reyes | Optometry | Pearson Eyecare Group, LLC | 1831 E Camelback Rd, Suite B2, Phoenix, AZ 85016-4162 |
| David Black | Optometry | Pearson Eyecare Group, LLC | 1831 E Camelback Rd, Suite B2, Phoenix, AZ 85016-4162 |
| Robin D Blank | Optometry | Pearson Eyecare Group, LLC | 6555 E Southern Ave, Suite 1508, Mesa, AZ 85206-3724 |
| Street Address |
6555 E SOUTHERN AVE SUITE 1508 |
| City | MESA |
| State | AZ |
| Zip | 85206-3724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annalee N Nix | Optometry | Pearson Eyecare Group, LLC | 6555 E Southern Ave, Suite 1508, Mesa, AZ 85206-3724 |
| Marisa E Beebe | Optometry | Pearson Eyecare Group, LLC | 6555 E Southern Ave, Suite 1508, Mesa, AZ 85206-3724 |
| Robin D Blank | Optometry | Pearson Eyecare Group, LLC | 6555 E Southern Ave, Suite 1508, Mesa, AZ 85206-3724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justina D Alphin | Physician Assistant | Alan D Wamboldt Md Pllc | 7525 E Broadway Rd, Suite 3, Mesa, AZ 85206-1156 |
| Alan D Wamboldt | Orthopedic Surgery | Alan D Wamboldt Md Pllc | 7525 E Broadway Rd, Suite 3, Mesa, AZ 85206-1156 |
| Ansan Thomas | Nurse Practitioner | Allied Internal Medicine Pllc | 51 S 48th St, Mesa, AZ 85206-1250 |
| Stephanie Deborah Kotsur | Nurse Practitioner | Allied Internal Medicine Pllc | 51 S 48th St, Mesa, AZ 85206-1250 |
| Hollis E Shaw | Hematology/oncology | 6242 E Arbor Ave, Suite 116, Mesa, AZ 85206-1309 | |
| Michele F Davis | Nurse Practitioner | Bruce C Davis, Md, PC | 6242 E Arbor Ave, Suite 101, Mesa, AZ 85206-1309 |
| Audrey A Lally | Registered Dietitian Or Nutrition Professional | 6242 E Arbor Ave, Suite 103, Mesa, AZ 85206-1309 | |
| Monica Abrante | Internal Medicine | 6242 E Arbor Ave, Suite 103, Mesa, AZ 85206-1309 | |
| Terry A Huff | Obstetrics/gynecology | Desert Rose Obgyn PC | 6242 E Arbor Ave, Suite 107, Mesa, AZ 85206-1309 |
| Lisa R Huff | Obstetrics/gynecology | Desert Rose Obgyn PC | 6242 E Arbor Ave, Suite 107, Mesa, AZ 85206-1309 |
| Find all physicians in zip 85206 | |||
| City | MESA |
| Zip Code | 85206 |
| Specialty | OPTOMETRY |
| City + Specialty | MESA + OPTOMETRY |
Please comment or provide details below to improve the information on Mindy M Hagstrom.
| 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.