Staci Harwell Tebbetts (NPI# 1417485715, PAC ID# 4981978368) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1417485715 |
| PAC ID by PECOS | 4981978368 |
| Professional Enrollment ID | I20170923000321 |
| Full Name | Staci Harwell Tebbetts |
| Organization Legal Name | WINDER EYE CARE CENTER |
| Address |
279 N Broad St Suite C Winder GA 30680-2155 |
| Phone Number | 7708672505 |
| Gender | F |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2017 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1153312871 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 279 N Broad St, Suite C, Winder, GA 30680-2155 | 7708672505 | WINDER EYE CARE CENTER |
| Organization Legal Name | WINDER EYE CARE CENTER |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen M Canupp | Optometry | Winder Eye Care Center | 90 Church St, Winder, GA 30680-1714 |
| Darrell A Sorah | Optometry | Winder Eye Care Center | 90 Church St, Winder, GA 30680-1714 |
| Mark W Hall | Optometry | Winder Eye Care Center | 90 Church St, Winder, GA 30680-1714 |
| Street Address |
279 N BROAD ST SUITE C |
| City | WINDER |
| State | GA |
| Zip | 30680-2155 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cara Patterson Robison | Optometry | 72 Westcandler St, Winder, GA 30680 | |
| Karen M Canupp | Optometry | Winder Eye Care Center | 90 Church St, Winder, GA 30680-1714 |
| Darrell A Sorah | Optometry | Winder Eye Care Center | 90 Church St, Winder, GA 30680-1714 |
| Mark W Hall | Optometry | Winder Eye Care Center | 90 Church St, Winder, GA 30680-1714 |
| Kathey J Payne | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesia Barrow Inc. | 138 W Athens St, Winder, GA 30680-1776 |
| Melba C Smith Armstrong | Certified Registered Nurse Anesthetist (crna) | Resource Anesthesia Barrow Inc. | 138 W Athens St, Winder, GA 30680-1776 |
| Rasheed O Amao | Anesthesiology | Resource Anesthesia Barrow Inc. | 138 W Athens St, Winder, GA 30680-1776 |
| John Christy Snyder | Optometry | 135 N Broad St, Winder, GA 30680-2110 | |
| Billy J Blackmon | Diagnostic Radiology | Imaging Associates of Georgia LLC | 316 N Broad St, Winder, GA 30680-2150 |
| Lloyd S Stuart | Family Medicine | Georgia Emergency Department Services, P.C. | 316 N Broad St, Winder, GA 30680-2150 |
| Find all physicians in zip 30680 | |||
| City | WINDER |
| Zip Code | 30680 |
| Specialty | OPTOMETRY |
| City + Specialty | WINDER + OPTOMETRY |
Please comment or provide details below to improve the information on Staci Harwell Tebbetts.
| 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.