Kevin W Clogg (NPI# 1568762995, PAC ID# 3870713969) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1568762995 |
| PAC ID by PECOS | 3870713969 |
| Professional Enrollment ID | I20141014000468 |
| Full Name | Kevin W Clogg |
| Organization Legal Name | STEVE B. PARK M.D. PC |
| Address |
6534 Anthony Dr Suite B Victor NY 14564-1403 |
| Phone Number | 5853987545 |
| Gender | M |
| Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduation Year | 2006 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0446219372 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2300 Buffalo Rd Bldg, Suite 700, Rochester, NY 14624-1367 | 5853280153 | STEVE B. PARK M.D. PC |
| 6534 Anthony Dr, Suite B, Victor, NY 14564-1403 | 5853987545 | STEVE B. PARK M.D. PC |
| Organization Legal Name | STEVE B. PARK M.D. PC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Diloreto Jr. | Ophthalmology | Steve B. Park M.d. PC | 2300 Buffalo Rd Bldg, Suite 700, Rochester, NY 14624-1367 |
| Omar E Hanuch | Ophthalmology | Steve B. Park M.d. PC | 6534 Anthony Dr, Suite B, Victor, NY 14564-1403 |
| Steve B Park | Ophthalmology | Steve B. Park M.d. PC | 485 Titus Ave A, Rochester, NY 14617-3544 |
| Lee J Buttaggi | Optometry | Steve B. Park M.d. PC | 2300 Buffalo Rd Bldg, Suite 700, Rochester, NY 14624-1367 |
| Kevin J Chaisson | Optometry | Steve B. Park M.d. PC | 2300 Buffalo Rd Bldg, Suite 700, Rochester, NY 14624-1367 |
| Mina M Chung | Ophthalmology | Steve B. Park M.d. PC | 2300 Buffalo Rd Bldg, Suite 700, Rochester, NY 14624-1367 |
| Joel Greenberg | Optometry | Steve B. Park M.d. PC | 160 Sawgrass Dr, Suite 220, Rochester, NY 14620-4655 |
| James W Beisheim Jr. | Optometry | Steve B. Park M.d. PC | 2300 Buffalo Rd Bldg, Suite 700, Rochester, NY 14624-1367 |
| Paul C Hanlon | Optometry | Steve B. Park M.d. PC | 2300 Buffalo Rd Bldg, Suite 700, Rochester, NY 14624-1367 |
| Linn D Goetz | Optometry | Steve B. Park M.d. PC | 2300 Buffalo Rd Bldg, Suite 700, Rochester, NY 14624-1367 |
| Street Address |
6534 ANTHONY DR SUITE B |
| City | VICTOR |
| State | NY |
| Zip | 14564-1403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Omar E Hanuch | Ophthalmology | Steve B. Park M.d. PC | 6534 Anthony Dr, Suite B, Victor, NY 14564-1403 |
| Roy H Kim | Optometry | Steve B. Park M.d. PC | 6534 Anthony Dr, Suite B, Victor, NY 14564-1403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Andrew Pratt | Optometry | C and R Vision Center Inc | 274 W Main St, Victor, NY 14564-1157 |
| Richard R Chute | Optometry | C and R Vision Center Inc | 274 W Main St, Victor, NY 14564-1157 |
| Katherine M Whipple | Ophthalmology | 274 W Main St, Victor, NY 14564-1157 | |
| Dawn L Pisello | Optometry | C and R Vision Center Inc | 274 W Main St, Victor, NY 14564-1157 |
| Lisa Marie Chute | Optometry | C and R Vision Center Inc | 274 W Main St, Victor, NY 14564-1157 |
| Natasha L Decker | Optometry | C and R Vision Center Inc | 274 W Main St, Victor, NY 14564-1157 |
| Daniel Bajus | Physical Therapy | 6534 Anthony Dr C, Victor, NY 14564-1403 | |
| Josephine Barrett | Internal Medicine | Victor Internal Medicine and Pediatrics,p.c. | 6532 Anthony Dr, Suite A, Victor, NY 14564-1403 |
| Philip S Meaker | Internal Medicine | Victor Internal Medicine and Pediatrics,p.c. | 6532 Anthony Dr, Suite A, Victor, NY 14564-1403 |
| Kevin Dwain Penird | Internal Medicine | Victor Internal Medicine and Pediatrics,p.c. | 6532 Anthony Dr, Suite A, Victor, NY 14564-1403 |
| Find all physicians in zip 14564 | |||
| City | VICTOR |
| Zip Code | 14564 |
| Specialty | OPTOMETRY |
| City + Specialty | VICTOR + 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.