Alicia Yantes (NPI# 1699936542, PAC ID# 4789740259) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1699936542 |
| PAC ID by PECOS | 4789740259 |
| Professional Enrollment ID | I20090309000090 |
| Full Name | Alicia Yantes |
| Organization Legal Name | JEFFREY W. WILLIAMS, O.D. AND ASSOCIATES, PA |
| Address |
3480 Bunker Lake Blvd Nw Suite 101 Andover MN 55304-3669 |
| Phone Number | 7637129854 |
| Gender | F |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2008 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6709781180 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3480 Bunker Lake Blvd Nw, Suite 101, Andover, MN 55304-3669 | 7637129854 | JEFFREY W. WILLIAMS, O.D. AND ASSOCIATES, PA |
| Organization Legal Name | JEFFREY W. WILLIAMS, O.D. AND ASSOCIATES, PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Jordan | Optometry | Jeffrey W. Williams, O.d. and Associates, Pa | 3480 Bunker Lake Blvd Nw, Suite 101, Andover, MN 55304-3669 |
| Amanda Mae Schmitz | Optometry | Jeffrey W. Williams, O.d. and Associates, Pa | 23168 Saint Francis Blvd Nw, Suite 300, Saint Francis, MN 55070-4402 |
| Derek A Moline | Optometry | Jeffrey W. Williams, O.d. and Associates, Pa | 1835 County Rd C W, Suite 240, Roseville, MN 55113-1364 |
| Jeffrey W Williams | Optometry | Jeffrey W. Williams, O.d. and Associates, Pa | 3480 Bunker Lake Blvd Nw, Suite 101, Andover, MN 55304-3669 |
| Street Address |
3480 BUNKER LAKE BLVD NW SUITE 101 |
| City | ANDOVER |
| State | MN |
| Zip | 55304-3669 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Jordan | Optometry | Jeffrey W. Williams, O.d. and Associates, Pa | 3480 Bunker Lake Blvd Nw, Suite 101, Andover, MN 55304-3669 |
| Jeffrey W Williams | Optometry | Jeffrey W. Williams, O.d. and Associates, Pa | 3480 Bunker Lake Blvd Nw, Suite 101, Andover, MN 55304-3669 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Henning | Chiropractic | 1573 154th Ave Nw, Suite 102, Andover, MN 55304-2696 | |
| Divina F. Bikeri | Nurse Practitioner | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Andrea D Bergstrom | Nurse Practitioner | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Jessica L Kenser | Nurse Practitioner | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| David L Wineinger | Pediatric Medicine | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Kamrie A Parrott | Nurse Practitioner | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Susan L Demorlis | Registered Dietitian Or Nutrition Professional | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Patricia A Herbert | Family Medicine | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Sherry M Marinello | Physician Assistant | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Celerina Gonzalez | Family Medicine | Group Health Plan Inc | 15245 Bluebird Nwst, Andover, MN 55304-3554 |
| Find all physicians in zip 55304 | |||
| City | ANDOVER |
| Zip Code | 55304 |
| Specialty | OPTOMETRY |
| City + Specialty | ANDOVER + 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.