Brandon Clark Hicks (NPI# 1679887756, PAC ID# 4587837950) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1679887756 |
| PAC ID by PECOS | 4587837950 |
| Professional Enrollment ID | I20111031000312 |
| Full Name | Brandon Clark Hicks |
| Organization Legal Name | FILLMORE EYE CLINIC INCORPORATED |
| Address |
4111 Camino Coyote A Las Cruces NM 88011-7096 |
| Phone Number | 5755223393 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2010 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7214069293 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1124 10th St, Alamogordo, NM 88310-6414 | 5754341200 | FILLMORE EYE CLINIC INCORPORATED |
| 4111 Camino Coyote, A, Las Cruces, NM 88011-7096 | 5755223393 | FILLMORE EYE CLINIC INCORPORATED |
| Organization Legal Name | FILLMORE EYE CLINIC INCORPORATED |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Aneal Dosch | Optometry | Fillmore Eye Clinic Incorporated | 1415 S Valley Dr, Suite 200, Las Cruces, NM 88005-3155 |
| Steven Woodard | Optometry | Fillmore Eye Clinic Incorporated | 205 E Smith Ave, Truth Or Consequences, NM 87901-1807 |
| William D Reno | Certified Registered Nurse Anesthetist (crna) | Fillmore Eye Clinic Incorporated | 1124 10th St, Alamogordo, NM 88310-6414 |
| Thomas Boyle | Ophthalmology | Fillmore Eye Clinic Incorporated | 850 W Florida St, Deming, NM 88030-4558 |
| Jacob Bailey | Optometry | Fillmore Eye Clinic Incorporated | 1124 10th St, Alamogordo, NM 88310-6414 |
| Jerom B Nelson | Optometry | Fillmore Eye Clinic Incorporated | 1124 10th St, Alamogordo, NM 88310-6414 |
| Michael Jonathan Margolis | Ophthalmology | Fillmore Eye Clinic Incorporated | 4111 Camino Coyote, A, Las Cruces, NM 88011-7096 |
| Parley D Fillmore | Ophthalmology | Fillmore Eye Clinic Incorporated | 4111 Camino Coyote, A, Las Cruces, NM 88011-7096 |
| Robert B Smith | Optometry | Fillmore Eye Clinic Incorporated | 205 E Smith Ave, Truth Or Consequences, NM 87901-1807 |
| Bryce Johnson | Optometry | Fillmore Eye Clinic Incorporated | 1124 10th St, Alamogordo, NM 88310-6414 |
| Street Address |
4111 CAMINO COYOTE A |
| City | LAS CRUCES |
| State | NM |
| Zip | 88011-7096 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Jonathan Margolis | Ophthalmology | Fillmore Eye Clinic Incorporated | 4111 Camino Coyote, A, Las Cruces, NM 88011-7096 |
| Parley D Fillmore | Ophthalmology | Fillmore Eye Clinic Incorporated | 4111 Camino Coyote, A, Las Cruces, NM 88011-7096 |
| Jon Roger Hall | Ophthalmology | Fillmore Eye Clinic Incorporated | 4111 Camino Coyote, A, Las Cruces, NM 88011-7096 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francis K Attiogbe | Internal Medicine | Fesss Family Healthcare LLC | 3039 Memorial Court, Las Cruces, NM 88011 |
| Elaine Enyonam Attiogbe | Nurse Practitioner | Fesss Family Healthcare LLC | 3039 Memorial Court, Las Cruces, NM 88011 |
| Kanaka L Chelliah | Family Medicine | 4500 Sonoma Ranch Blvd, Las Cruces, NM 88011-0000 | |
| Troy W Shepherd | Podiatry | New Mexico Bone and Joint Institute PC | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 |
| John V Watkins | Anesthesiology | New Mexico Bone and Joint Institute PC | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 |
| Douglas R Dodson | Orthopedic Surgery | New Mexico Bone and Joint Institute PC | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 |
| Ramakrishna Devasthali | Diagnostic Radiology | Imaging Associates of New Mexico LLC | 2735 Northrise Dr, Memorial Healthplex, Las Cruces, NM 88011-0897 |
| Andrew Bruner | Diagnostic Radiology | Imaging Associates of New Mexico LLC | 2735 Northrise Dr, Memorial Healthplex, Las Cruces, NM 88011-0897 |
| Melissa J Cometti | Nurse Practitioner | Phc-las Cruces Inc | 2735 Northrise Dr, Las Cruces, NM 88011-0897 |
| Carrie Alissa Dieker | General Surgery | Las Cruces Physician Practices, LLC | 2735 Northrise Dr, Las Cruces, NM 88011-0897 |
| Find all physicians in zip 88011 | |||
| City | LAS CRUCES |
| Zip Code | 88011 |
| Specialty | OPTOMETRY |
| City + Specialty | LAS CRUCES + 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.