Blake T Dirks (NPI# 1629145057, PAC ID# 5799710117) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1629145057 |
| PAC ID by PECOS | 5799710117 |
| Professional Enrollment ID | I20091229000522 |
| Full Name | Blake T Dirks |
| Organization Legal Name | ST. PETER EYECARE CENTER |
| Address |
320 Sunrise Dr Saint Peter MN 56082-1353 |
| Phone Number | 5079316436 |
| Gender | M |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1986 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2466487871 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 320 Sunrise Dr, Saint Peter, MN 56082-1353 | 5079316436 | ST. PETER EYECARE CENTER |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | ST. PETER EYECARE CENTER |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary B Dirks | Optometry | St. Peter Eyecare Center | 320 Sunrise Dr, Saint Peter, MN 56082-1353 |
| Vonnie K Nelson | Optometry | St. Peter Eyecare Center | 320 Sunrise Dr, Saint Peter, MN 56082-1353 |
| Street Address |
320 SUNRISE DR |
| City | SAINT PETER |
| State | MN |
| Zip | 56082-1353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary B Dirks | Optometry | St. Peter Eyecare Center | 320 Sunrise Dr, Saint Peter, MN 56082-1353 |
| Vonnie K Nelson | Optometry | St. Peter Eyecare Center | 320 Sunrise Dr, Saint Peter, MN 56082-1353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha J Olsen | Occupational Therapy | 830 Sunrise Dr, Suite B, Saint Peter, MN 56082-1203 | |
| Laura J Hulsebus | Chiropractic | 206 W Walnut St, Saint Peter, MN 56082-1468 | |
| Schelli Olmanson Mccabe | Podiatry | 316 S 3rd St, Saint Peter, MN 56082-2023 | |
| Steven J Moore | Chiropractic | 220 W Broadway Ave, Saint Peter, MN 56082-2036 | |
| Seth R Nelson | Chiropractic | 1520 Minnesota Ave S, Saint Peter, MN 56082-2036 | |
| Charles Todd Uhler | Chiropractic | 117 S Minnesota Ave, Saint Peter, MN 56082-2515 | |
| Lauren Renaye Lefavor Dickie | Psychologist, Clinical | 108 S Minnesota Ave, Suite 205, Saint Peter, MN 56082-2557 | |
| Peggy Sorensen | Clinical Social Worker | Counseling Services of Southern Minnesota, Inc | 1306 Marshall St, Saint Peter, MN 56082-4500 |
| Melissa K Coble | Psychologist, Clinical | Sioux Trails Mental Health Center Inc | 1301 Marshall St, Saint Peter, MN 56082-4500 |
| Katie Marie Stadheim | Clinical Social Worker | Counseling Services of Southern Minnesota, Inc | 1306 Marshall St, Saint Peter, MN 56082-4500 |
| Find all physicians in zip 56082 | |||
| City | SAINT PETER |
| Zip Code | 56082 |
| Specialty | OPTOMETRY |
| City + Specialty | SAINT PETER + OPTOMETRY |
Please comment or provide details below to improve the information on Blake T Dirks.
| 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.