Pamela M Wise (NPI# 1700863321, PAC ID# 3971648064) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1700863321 |
| PAC ID by PECOS | 3971648064 |
| Professional Enrollment ID | I20100301000242 |
| Full Name | Pamela M Wise |
| Organization Legal Name | MICHIANA EYE CENTER LLC |
| Address |
230 E Day Rd Suite 100 Mishawaka IN 46545-3408 |
| Phone Number | 5742713939 |
| Gender | F |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 1996 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3173595634 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 | 5742713939 | MICHIANA EYE CENTER LLC |
| 319 N Niles Ave, Suite 100, South Bend, IN 46617-2328 | 5742822020 | MICHIANA EYE CENTER LLC |
| Organization Legal Name | MICHIANA EYE CENTER LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura A Cavadini | Ophthalmology | Michiana Eye Center LLC | 1747 Stafford Ct, Goshen, IN 46526-6542 |
| Stephanie Baxter | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Andrew R Anderson | Optometry | Michiana Eye Center LLC | 2216 Cassopolis St, Elkhart, IN 46514-5133 |
| Shannan E Brown | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Richard David Weiss | Ophthalmology | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Timothy H Blankenbeker | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Kevin A Danahey | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Kevin R Baxter | Ophthalmology | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| David P Sonnenburg | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Lauren Sanchez | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Street Address |
230 E DAY RD SUITE 100 |
| City | MISHAWAKA |
| State | IN |
| Zip | 46545-3408 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Baxter | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Jan E Warner | Psychologist, Clinical | David F Sonego Md PC and Associates | 230 E Day Rd, Suite 160, Mishawaka, IN 46545-3463 |
| Shannan E Brown | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Michele M Smith | Nurse Practitioner | I-spine LLC | 230 E Day Rd, Suite 180, Mishawaka, IN 46545-3463 |
| Richard David Weiss | Ophthalmology | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Hugh J Van Auken Sr. | Psychologist, Clinical | David F Sonego Md PC and Associates | 230 E Day Rd, Suite 160, Mishawaka, IN 46545-3463 |
| Timothy H Blankenbeker | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| V Durga Madhusudana Murthy Rao | Orthopedic Surgery | I-spine LLC | 230 E Day Rd, Suite 180, Mishawaka, IN 46545-3463 |
| Kevin A Danahey | Optometry | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Kevin R Baxter | Ophthalmology | Michiana Eye Center LLC | 230 E Day Rd, Suite 100, Mishawaka, IN 46545-3408 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marielvea A Banks | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Sean R Horner | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Rami Musleh | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Meghan M Barrus | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Ann M Grubb | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Duane M Wampler | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Eugene Huang | Emergency Medicine | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Steven D Whaley | Anesthesiology | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Angela Blagojevski | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Danny E Winn | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Find all physicians in zip 46545 | |||
| City | MISHAWAKA |
| Zip Code | 46545 |
| Specialty | OPTOMETRY |
| City + Specialty | MISHAWAKA + OPTOMETRY |
Please comment or provide details below to improve the information on Pamela M Wise.
| 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.