Jaison G Panicker (NPI# 1093060097, PAC ID# 6305104506) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1093060097 |
| PAC ID by PECOS | 6305104506 |
| Professional Enrollment ID | I20171218000074 |
| Full Name | Jaison G Panicker |
| Organization Legal Name | BERGELT OPTOMETRIC LLC |
| Address |
251 Andover Pl Darlington SC 29532-1500 |
| Phone Number | 8434091954 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5092007666 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 251 Andover Pl, Darlington, SC 29532-1500 | 8434091954 | BERGELT OPTOMETRIC LLC |
| Organization Legal Name | BERGELT OPTOMETRIC LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Garrett Pennell | Optometry | Bergelt Optometric LLC | 2795 N Rd, Orangeburg, SC 29118-2806 |
| Edward Lemon | Optometry | Bergelt Optometric LLC | 900 Us 52 Hwy, Lake City, SC 29560-5906 |
| William G Ahders | Optometry | Bergelt Optometric LLC | 2401 Augusta Rd, West Columbia, SC 29169-4543 |
| Raymond G Poole | Optometry | Bergelt Optometric LLC | 2672 David H Mcleod Blvd, Florence, SC 29501-4042 |
| Vincent F Zeplin Jr. | Optometry | Bergelt Optometric LLC | 2010 Paxville Hwy, Manning, SC 29102-6434 |
| Solita Jones Bergelt | Optometry | Bergelt Optometric LLC | 2672 David H Mcleod Blvd, Florence, SC 29501-4042 |
| Kelle F Siegmund | Optometry | Bergelt Optometric LLC | 2672 David H Mcleod Blvd, Florence, SC 29501-4042 |
| Miles D Scruggs | Optometry | Bergelt Optometric LLC | 2672 David H Mcleod Blvd, Florence, SC 29501-4042 |
| Glenn S Matheny | Optometry | Bergelt Optometric LLC | 2672 David H Mcleod Blvd, Florence, SC 29501-4042 |
| Michelle L Brooks | Optometry | Bergelt Optometric LLC | 2672 David H Mcleod Blvd, Florence, SC 29501-4042 |
| Street Address |
251 ANDOVER PL |
| City | DARLINGTON |
| State | SC |
| Zip | 29532-1500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Daniel Mcinnis | Family Medicine | Genesis Healthcare, Inc. | 201 Cashua St, Darlington, SC 29532-3301 |
| Elizabeth H Jeffords | Psychiatry | Genesis Healthcare, Inc. | 201 Cashua St, Darlington, SC 29532-3301 |
| Alexander H Cohen | Family Medicine | Genesis Healthcare, Inc. | 201 Cashua St, Darlington, SC 29532-3301 |
| David Archie Eads | Chiropractic | 208 Cashua St, Darlington, SC 29532-3302 | |
| Nikunjkumar Trambaklal Modi | Psychiatry | Mcleod Physician Associates II | 701 Cashua Ferry Rd, Darlington, SC 29532-8488 |
| Daniel J Owens | Family Medicine | Mcleod Regional Medical Center of The Pee Dee, Inc | 701 Cashua Ferry Rd, Darlington, SC 29532-8488 |
| Douglass P Lilly | Family Medicine | Mcleod Regional Medical Center of The Pee Dee, Inc | 701 Cashua Ferry Rd, Darlington, SC 29532-8488 |
| Ashley T Lowe | Nurse Practitioner | Mcleod Regional Medical Center of The Pee Dee, Inc | 701 Cashua Ferry Rd, Darlington, SC 29532-8488 |
| Sanaulla M Khan | Psychiatry | Mcleod Physician Associates II | 701 Cashua Ferry Rd, Darlington, SC 29532-8488 |
| Shannon Hood | Nurse Practitioner | Mcleod Physician Associates II | 701 Cashua Ferry Rd, Darlington, SC 29532-8488 |
| Find all physicians in zip 29532 | |||
| City | DARLINGTON |
| Zip Code | 29532 |
| Specialty | OPTOMETRY |
| City + Specialty | DARLINGTON + 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.