Paul S Tlucek (NPI# 1982800470, PAC ID# 5294913653) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1982800470 |
| PAC ID by PECOS | 5294913653 |
| Professional Enrollment ID | I20130717000534 |
| Full Name | Paul S Tlucek |
| Organization Legal Name | RETINA NORTHWEST PC |
| Address |
120 Ne 136th Ave Suite 240 Vancouver WA 98684-6951 |
| Phone Number | 5032742121 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 1254234784 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9 Monroe Pkwy, Suite 150, Lake Oswego, OR 97035-8863 | 5032742121 | RETINA NORTHWEST PC |
| 5440 Sw Westgate Dr, Suite 217, Portland, OR 97221-2421 | 5032742121 | RETINA NORTHWEST PC |
| 9135 Sw Barnes Rd, Suite 661, Portland, OR 97225-6683 | 5032742121 | RETINA NORTHWEST PC |
| 725 S Wahanna Rd, Suite 101, Seaside, OR 97138-7735 | 5032742121 | RETINA NORTHWEST PC |
| 120 Ne 136th Ave, Suite 240, Vancouver, WA 98684-6951 | 5032742121 | RETINA NORTHWEST PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | RETINA NORTHWEST PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Apurva K Patel | Ophthalmology | Retina Northwest PC | 120 Ne 136th Ave, Suite 240, Vancouver, WA 98684-6951 |
| Colin Ma | Ophthalmology | Retina Northwest PC | 120 Ne 136th Ave, Suite 240, Vancouver, WA 98684-6951 |
| Michael S Lee | Ophthalmology | Retina Northwest PC | 725 S Wahanna Rd, Suite 101, Seaside, OR 97138-7735 |
| Richard F Dreyer | Ophthalmology | Retina Northwest PC | 120 Ne 136th Ave, Suite 240, Vancouver, WA 98684-6951 |
| Mark A Peters | Ophthalmology | Retina Northwest PC | 120 Ne 136th Ave, Suite 240, Vancouver, WA 98684-6951 |
| Wenlan Zhang | Ophthalmology | Retina Northwest PC | 725 S Wahanna Rd, Suite 101, Seaside, OR 97138-7735 |
| Street Address |
120 NE 136TH AVE SUITE 240 |
| City | VANCOUVER |
| State | WA |
| Zip | 98684-6951 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Apurva K Patel | Ophthalmology | Retina Northwest PC | 120 Ne 136th Ave, Suite 240, Vancouver, WA 98684-6951 |
| Colin Ma | Ophthalmology | Retina Northwest PC | 120 Ne 136th Ave, Suite 240, Vancouver, WA 98684-6951 |
| Richard F Dreyer | Ophthalmology | Retina Northwest PC | 120 Ne 136th Ave, Suite 240, Vancouver, WA 98684-6951 |
| Mark A Peters | Ophthalmology | Retina Northwest PC | 120 Ne 136th Ave, Suite 240, Vancouver, WA 98684-6951 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent G Barker | Podiatry | 18007 Ne 26th St, Vancouver, WA 98684-0735 | |
| Kim Forgione | Optometry | 1900 Ne 162nd Ave, Suite D103, Vancouver, WA 98684-3015 | |
| Shelby G Wickhorst | Optometry | Shelby Wickhorst Od PC | 1901 Ne 162nd Ave D, Vancouver, WA 98684-3022 |
| Timothy F Vrtiska | Ophthalmology | University Professional Services | 312 Se Stonemill Dr, Suite 150, Vancouver, WA 98684-3547 |
| Daniel L Gradin | Ophthalmology | University Professional Services | 312 Se Stonemill Dr, Suite 150, Vancouver, WA 98684-3547 |
| Bei Wang | Internal Medicine | Kaiser Foundation Health Plan of The Northwest | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-4098 |
| Connie Y Kuo | Otolaryngology | Kaiser Foundation Health Plan of The Northwest | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-4098 |
| Kerry A Matthews | Family Medicine | Kaiser Foundation Health Plan of The Northwest | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-4098 |
| Juan E Munoz Oca | Family Medicine | Kaiser Foundation Health Plan of The Northwest | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-4098 |
| Khurram Naqvi | Internal Medicine | Kaiser Foundation Health Plan of The Northwest | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-4098 |
| Find all physicians in zip 98684 | |||
| City | VANCOUVER |
| Zip Code | 98684 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | VANCOUVER + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Paul S Tlucek.
| 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.