Lauren Nicole Tatlock (NPI# 1083276810, PAC ID# 4082940259) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1083276810 |
| PAC ID by PECOS | 4082940259 |
| Professional Enrollment ID | I20190725001183 |
| Full Name | Lauren Nicole Tatlock |
| Organization Legal Name | JURY EYE CARE LLC |
| Address |
2701 N Rock Rd Suite 200 Derby KS 67037-3790 |
| Phone Number | 3165585400 |
| Gender | F |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 2019 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4284860149 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2701 N Rock Rd, Suite 200, Derby, KS 67037-3790 | 3165585400 | JURY EYE CARE LLC |
| 926 E Douglas Ave, Wichita, KS 67202-3510 | 3162476515 | JURY EYE CARE LLC |
| Organization Legal Name | JURY EYE CARE LLC |
| Physicians | 1 |
| Street Address |
2701 N ROCK RD SUITE 200 |
| City | DERBY |
| State | KS |
| Zip | 67037-3790 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luke B Dopps | Chiropractic | 620 N Baltimore Ave B, Derby, KS 67037-1600 | |
| Dan F Smith | Chiropractic | 607 N Baltimore Ave, Derby, KS 67037-1607 | |
| Katie L Carmer | Certified Registered Nurse Anesthetist (crna) | Special Anesthesia Services Pa | 727 N Baltimore, Suite 100, Derby, KS 67037-1609 |
| Abbey D Travis | Certified Registered Nurse Anesthetist (crna) | Special Anesthesia Services Pa | 727 N Baltimore, Suite 100, Derby, KS 67037-1609 |
| Jenni K Ehling | Certified Registered Nurse Anesthetist (crna) | Special Anesthesia Services Pa | 727 N Baltimore, Suite 100, Derby, KS 67037-1609 |
| Glenn K Sherwood | Clinical Social Worker | 425 N Baltimore Ave, Suite 1, Derby, KS 67037-1625 | |
| Jesus E Val Mejias | Cardiovascular Disease (cardiology) | 1001 N Buckner St, Derby, KS 67037-1824 | |
| Michelle R Brown | Cardiovascular Disease (cardiology) | Essential Health and Wellness LLC | 1001 N Buckner St, Derby, KS 67037-1824 |
| Jason P Camblin | Physical Therapy | Ascension Via Christi Rehabilitation Hospital Inc | 1640 E Tall Tree Rd, Via Christi Therapy Center, Derby, KS 67037-2000 |
| Brenda J Fink | Occupational Therapy | Ascension Via Christi Rehabilitation Hospital Inc | 1640 E Tall Tree Rd, Via Christi Therapy Center, Derby, KS 67037-2000 |
| Find all physicians in zip 67037 | |||
| City | DERBY |
| Zip Code | 67037 |
| Specialty | OPTOMETRY |
| City + Specialty | DERBY + 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.