St Claire R La Roche (NPI# 1730593229, PAC ID# 6608096920) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1730593229 |
| PAC ID by PECOS | 6608096920 |
| Professional Enrollment ID | I20141008000272 |
| Full Name | St Claire R La Roche |
| Organization Legal Name | SOUTHSIDE EYE CENTER PC |
| Address |
1511 W 3rd St Farmville VA 23901-0506 |
| Phone Number | 4343929555 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7315075231 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1511 W 3rd St, Farmville, VA 23901-0506 | 4343929555 | SOUTHSIDE EYE CENTER PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | SOUTHSIDE EYE CENTER PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ripon W La Roche | Ophthalmology | Southside Eye Center PC | 1511 W 3rd St, Farmville, VA 23901-0506 |
| Ripon W La Roche Iii | Optometry | Southside Eye Center PC | 1511 W 3rd St, Farmville, VA 23901-0506 |
| Street Address |
1511 W 3RD ST |
| City | FARMVILLE |
| State | VA |
| Zip | 23901-0506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ripon W La Roche | Ophthalmology | Southside Eye Center PC | 1511 W 3rd St, Farmville, VA 23901-0506 |
| Ripon W La Roche Iii | Optometry | Southside Eye Center PC | 1511 W 3rd St, Farmville, VA 23901-0506 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Blaisdell | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Rhian Mccann | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Jonathan Lundberg | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Jennifer Mohan | Speech Language Pathologist | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Sarah Parker | Speech Language Pathologist | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Shashidharan B Ayer | Nephrology | 1801 E 3rd St, Farmville, VA 23901-0245 | |
| Edwina C Wilson | Family Medicine | Central Virginia Health Services Inc | 833 Buffalo St, Farmville, VA 23901-1111 |
| Mercy P Bradshaw | Nurse Practitioner | Central Virginia Health Services Inc | 833 Buffalo St, Suite 200, Farmville, VA 23901-1111 |
| David M Donahue | Nurse Practitioner | Central Virginia Health Services Inc | 833 Buffalo St, Suite 200, Farmville, VA 23901-1111 |
| Bethany A Carilli | Chiropractic | 800 Buffalo St, Suite B, Farmville, VA 23901-1112 | |
| Find all physicians in zip 23901 | |||
| City | FARMVILLE |
| Zip Code | 23901 |
| Specialty | OPTOMETRY |
| City + Specialty | FARMVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on St Claire R La Roche.
| 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.