Douglass R Fruin (NPI# 1427578681, PAC ID# 5092066431) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1427578681 |
| PAC ID by PECOS | 5092066431 |
| Professional Enrollment ID | I20180924001717 |
| Full Name | Douglass R Fruin |
| Organization Legal Name | INTERNATIONAL EYECARE CENTER, INC |
| Address |
409 N 78th St Malbar Vision Omaha NE 68114-3638 |
| Phone Number | 4023916600 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2017 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0244125235 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 409 N 78th St, Malbar Vision, Omaha, NE 68114-3638 | 4023916600 | INTERNATIONAL EYECARE CENTER, INC |
| Organization Legal Name | INTERNATIONAL EYECARE CENTER, INC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valerie A Leff | Optometry | International Eyecare Center, Inc | 2545 S 132nd St, Malbar Vision, Omaha, NE 68144-2532 |
| Daniel W Alletto | Optometry | International Eyecare Center, Inc | 125 N 13th St, Centerville, IA 52544-1705 |
| Kaitlin Renae Griffith | Optometry | International Eyecare Center, Inc | 1689 W Morton Ave, Jacksonville, IL 62650-2717 |
| Kenneth R Mueller | Optometry | International Eyecare Center, Inc | 215 Progress Rd, Hannibal, MO 63401-6637 |
| Matthew A Schekirke | Optometry | International Eyecare Center, Inc | 16016 Evans St, 101 Malbar Vision, Omaha, NE 68116-6457 |
| Kirk C Maynard | Optometry | International Eyecare Center, Inc | 8102 S 84th St, Malbar Vision, La Vista, NE 68128-3305 |
| Katherine L Osborn | Optometry | International Eyecare Center, Inc | 1877 A N Bluff St, Fulton, MO 65251-2465 |
| Kristie N Chevalier | Optometry | International Eyecare Center, Inc | 2445 Broadway St, Quincy, IL 62301-3257 |
| Stephen M Felt | Optometry | International Eyecare Center, Inc | 10114 Maple St, Omaha, NE 68134-5555 |
| Jason Edward Mcdowell | Optometry | International Eyecare Center, Inc | 201 N Madison St, Pittsfield, IL 62363-1447 |
| Street Address |
409 N 78TH ST MALBAR VISION |
| City | OMAHA |
| State | NE |
| Zip | 68114-3638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neal H Malashock | Optometry | International Eyecare Center, Inc | 409 N 78th St, Malbar Vision, Omaha, NE 68114-3638 |
| Larry D Malashock | Optometry | International Eyecare Center, Inc | 409 N 78th St, Malbar Vision, Omaha, NE 68114-3638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anand R Deshmukh | Cardiovascular Disease (cardiology) | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Amy L Swerczek | Nurse Practitioner | Physicians Clinic Inc | 1120 N 103rd Plaza, 100 Methodist Physicians Clinic Heart Consults, Omaha, NE 68114-1119 |
| Sarah M. Schmuecker | Nurse Practitioner | Physicians Clinic Inc | 1120 N 103rd Plaza, 100 Methodist Physicians Clinic Heart Consults, Omaha, NE 68114-1119 |
| Frank Mezzacappa | Pulmonary Disease | Physicians Clinic Inc | 1120 N 103rd Plaza, 100 Methodist Physicians Clinic Heart Consults, Omaha, NE 68114-1119 |
| Edmund O Fiksinski | Interventional Cardiology | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Erin Renee Brummett | Nurse Practitioner | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Patrick G. Meyers | Pulmonary Disease | Physicians Clinic Inc | 1120 N 103rd Plaza, 100 Methodist Physicians Clinic Heart Consults, Omaha, NE 68114-1119 |
| Jeffrey Michael Mahoney | Cardiac Electrophysiology | Physicians Clinic Inc | 1120 N 103rd Plaza, Omaha, NE 68114-1119 |
| Robert E Wear Iii | Pulmonary Disease | Physicians Clinic Inc | 1120 N 103rd Plaza, 100 Methodist Physicians Clinic Heart Consults, Omaha, NE 68114-1119 |
| Adam D Wells | Pulmonary Disease | Physicians Clinic Inc | 1120 N 103rd Plaza, 102 Methodist Physicians Clinic Pulmonary Medicine Spe, Omaha, NE 68114-1119 |
| Find all physicians in zip 68114 | |||
| City | OMAHA |
| Zip Code | 68114 |
| Specialty | OPTOMETRY |
| City + Specialty | OMAHA + OPTOMETRY |
Please comment or provide details below to improve the information on Douglass R Fruin.
| 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.