Shannon L Iwanski (NPI# 1578851341, PAC ID# 4981867033) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1578851341 |
| PAC ID by PECOS | 4981867033 |
| Professional Enrollment ID | I20120530000038 |
| Full Name | Shannon L Iwanski |
| Organization Legal Name | DAVIDS EYECARE INC |
| Address |
17255 Davenport St Suite 139 Omaha NE 68118-4092 |
| Phone Number | 4027636466 |
| Gender | F |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2011 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1456454404 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 17255 Davenport St, Suite 139, Omaha, NE 68118-4092 | 4027636466 | DAVIDS EYECARE INC |
| 17660 Wright St, Suite 18, Omaha, NE 68130-2899 | 4029910160 | DAVIDS EYECARE INC |
| Organization Legal Name | DAVIDS EYECARE INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jimmy D Johnson | Optometry | Davids Eyecare Inc | 17255 Davenport St, Suite 139, Omaha, NE 68118-4092 |
| Street Address |
17255 DAVENPORT ST SUITE 139 |
| City | OMAHA |
| State | NE |
| Zip | 68118-4092 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jimmy D Johnson | Optometry | Davids Eyecare Inc | 17255 Davenport St, Suite 139, Omaha, NE 68118-4092 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Klug | Internal Medicine | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Susan H Wallace | Nurse Practitioner | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Rachel L Anderson | Physical Therapy | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Rebecca M Lancaster | Family Medicine | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| James L Maliszewski | Internal Medicine | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Dorota S Brilz | Family Medicine | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| M Suzan Crabb | Internal Medicine | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Jon C Uggen | Orthopedic Surgery | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Shane J Stephenson | Family Medicine | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Felicia C Thorson | Nurse Practitioner | Physicians Clinic Inc | 16120 W Dodge Rd, Omaha, NE 68118-2049 |
| Find all physicians in zip 68118 | |||
| City | OMAHA |
| Zip Code | 68118 |
| Specialty | OPTOMETRY |
| City + Specialty | OMAHA + OPTOMETRY |
Please comment or provide details below to improve the information on Shannon L Iwanski.
| 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.