Jedediah Beal Lister (NPI# 1831442656, PAC ID# 3779891254) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1831442656 |
| PAC ID by PECOS | 3779891254 |
| Professional Enrollment ID | I20160203001410 |
| Full Name | Jedediah Beal Lister |
| Organization Legal Name | SKYVIEW EYECARE INC |
| Address |
3450 E Main Farmington NM 87402-5327 |
| Phone Number | 5053257070 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1254405426 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3450 E Main, Farmington, NM 87402-5327 | 5053257070 | SKYVIEW EYECARE INC |
| Organization Legal Name | SKYVIEW EYECARE INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gordon D Russell | Optometry | Skyview Eyecare Inc | 3450 E Main, Farmington, NM 87402-5327 |
| Street Address |
3450 E MAIN |
| City | FARMINGTON |
| State | NM |
| Zip | 87402-5327 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gordon D Russell | Optometry | Skyview Eyecare Inc | 3450 E Main, Farmington, NM 87402-5327 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Taylor Bentley | Chiropractic | 2901 E 20th St, 105 Robert Bentley Dc, Farmington, NM 87402-4411 | |
| Mary Catherine Curry | Dermatology | Epiphany Dermatology of New Mexico, LLC | 5512 E Main St, Suite A, Farmington, NM 87402-4421 |
| Ryan R Rowse | Chiropractic | La Mesa Chiropractic and Rehabilitation Center Inc. | 2904 N Hutton Ave, Farmington, NM 87402-4564 |
| Jeremy S Rowse | Chiropractic | La Mesa Chiropractic and Rehabilitation Center Inc. | 2904 N Hutton Ave, Farmington, NM 87402-4564 |
| Wesley D Hyde | Physical Therapy | Three Rivers Physical Therapy Inc | 3701 Messina Dr, Suite 108, Farmington, NM 87402-4779 |
| Lacy D Rosburg | Physical Therapy | Three Rivers Physical Therapy Inc | 3701 Messina Dr, Suite 108, Farmington, NM 87402-4779 |
| Scott V Adamson | Physical Therapy | Three Rivers Physical Therapy Inc | 3701 Messina Dr, Suite 108, Farmington, NM 87402-4779 |
| Peter E Razma | Pulmonary Disease | 6600 E Main St C, Farmington, NM 87402-5124 | |
| Ezekiel Brimhall | Chiropractic | 6610 E Main St, Farmington, NM 87402-5124 | |
| Linda Rose | Ophthalmology | Four Corners Eye Clinic, PC | 3450 E Main St, Fcec Farmington, Farmington, NM 87402-5327 |
| Find all physicians in zip 87402 | |||
| City | FARMINGTON |
| Zip Code | 87402 |
| Specialty | OPTOMETRY |
| City + Specialty | FARMINGTON + OPTOMETRY |
Please comment or provide details below to improve the information on Jedediah Beal Lister.
| 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.