Sabrina M Shultz (NPI# 1316086580, PAC ID# 5193826147) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1316086580 |
| PAC ID by PECOS | 5193826147 |
| Professional Enrollment ID | I20070720000747 |
| Full Name | Sabrina M Shultz |
| Organization Legal Name | CLARKSON OPTOMETRY ILLINOIS PC |
| Address |
3405 Nameoki Rd A Clarkson Eyecare Granite City IL 62040-3709 |
| Phone Number | 6182198909 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 2005 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7012292147 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3405 Nameoki Rd A, Clarkson Eyecare, Granite City, IL 62040-3709 | 6182198909 | CLARKSON OPTOMETRY ILLINOIS PC |
| 12 Professional Park Dr, Maryville, IL 62062-5672 | 6182887266 | JFJ EYECARE LTD |
| Organization Legal Name | CLARKSON OPTOMETRY ILLINOIS PC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mindy Miller | Optometry | Clarkson Optometry Illinois PC | 2645 N Illinois St, Clarkson Eyecare, Swansea, IL 62226-2302 |
| Dana S Rozell | Optometry | Clarkson Optometry Illinois PC | 3405 Nameoki Rd A, Clarkson Eyecare, Granite City, IL 62040-3709 |
| Brett Sobieralski | Optometry | Clarkson Optometry Illinois PC | 10 Lincoln Hwy, Suite 101, Fairview Heights, IL 62208-2100 |
| Daniel A Wolf | Optometry | Clarkson Optometry Illinois PC | 103 Clintonian Plz, Breese, IL 62230-1501 |
| Jennifer Brave Rafati | Optometry | Clarkson Optometry Illinois PC | 2525 Green Mount Commons Dr, Suite 290, Belleville, IL 62221-6735 |
| Thomas J Johnson | Optometry | Clarkson Optometry Illinois PC | 1819 B Homer Adams Pkwy, Alton, IL 62002-5606 |
| Chad R Baker | Optometry | Clarkson Optometry Illinois PC | 6663 Edwardsville Crossing Dr B, Clarkson Eyecare, Edwardsville, IL 62025-2704 |
| Troy W Johnson | Optometry | Clarkson Optometry Illinois PC | 3000 Broadway St, Mount Vernon, IL 62864-2340 |
| Keith R Hamm | Optometry | Clarkson Optometry Illinois PC | 3248 Green Mount Crossing Dr, Shiloh, IL 62269-7284 |
| Jason Richard Diehl | Optometry | Clarkson Optometry Illinois PC | 1025 Columbia Ctr, Columbia, IL 62236-2546 |
| Street Address |
3405 NAMEOKI RD A CLARKSON EYECARE |
| City | GRANITE CITY |
| State | IL |
| Zip | 62040-3709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana S Rozell | Optometry | Clarkson Optometry Illinois PC | 3405 Nameoki Rd A, Clarkson Eyecare, Granite City, IL 62040-3709 |
| Bryan Hopkins | Optometry | Clarkson Optometry Illinois PC | 3405 Nameoki Rd A, Clarkson Eyecare, Granite City, IL 62040-3709 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Darr | Clinical Social Worker | 1635 W 1st St, Suite 110, Granite City, IL 62040-1883 | |
| Rita A Tucker | Nurse Practitioner | Westco Haggerty Medical Partners, P.a. | 3500 Century Dr, Granite City, IL 62040-2166 |
| Valerie J Barber | Optometry | 4182 Nameoki Rd, Granite City, IL 62040-2330 | |
| Mark Alan Kleindorfer | Optometry | 1801 Pontoon Rd, Granite City, IL 62040-2338 | |
| Alice Halliday | Nurse Practitioner | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Danielle Homan | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Stephanie Boerding | Nurse Practitioner | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Ashley Marie Hynes | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Robert J Montgomery | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Andrew L Dorough | Chiropractic | Dr E L Strotheide Ltd | 3412 Nameoki Rd, Granite City, IL 62040-3702 |
| Find all physicians in zip 62040 | |||
| City | GRANITE CITY |
| Zip Code | 62040 |
| Specialty | OPTOMETRY |
| City + Specialty | GRANITE CITY + 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.