Erin Brett Lally (NPI# 1417244831, PAC ID# 6709018799) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1417244831 |
| PAC ID by PECOS | 6709018799 |
| Professional Enrollment ID | I20160811002016 |
| Full Name | Erin Brett Lally |
| Organization Legal Name | RETINAL DIAGNOSTIC CENTER A MEDICAL CORPORATION |
| Address |
3395 S Bascom Ave Suite 140 Campbell CA 95008-6770 |
| Phone Number | 4085590666 |
| Gender | F |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 2011 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 0143302208 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3395 S Bascom Ave, Suite 140, Campbell, CA 95008-6770 | 4085590666 | RETINAL DIAGNOSTIC CENTER A MEDICAL CORPORATION |
| 2110 Forest Ave, B, San Jose, CA 95128-1469 | 4082953433 | CAREY VISION MEDICAL GROUP INC |
| Organization Legal Name | RETINAL DIAGNOSTIC CENTER A MEDICAL CORPORATION |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amr Dessouki | Ophthalmology | Retinal Diagnostic Center A Medical Corporation | 3395 S Bascom Ave, Suite 140, Campbell, CA 95008-6770 |
| Clement C Chow | Ophthalmology | Retinal Diagnostic Center A Medical Corporation | 3395 S Bascom Ave, Suite 140, Campbell, CA 95008-6770 |
| Brian Ward | Ophthalmology | Retinal Diagnostic Center A Medical Corporation | 3395 S Bascom Ave, Suite 140, Campbell, CA 95008-6770 |
| Howard Chen | Ophthalmology | Retinal Diagnostic Center A Medical Corporation | 3395 S Bascom Ave, Suite 140, Campbell, CA 95008-6770 |
| Lingmin He | Ophthalmology | Retinal Diagnostic Center A Medical Corporation | 3395 S Bascom Ave, Suite 140, Campbell, CA 95008-6770 |
| Patrick M Monahan | Ophthalmology | Retinal Diagnostic Center A Medical Corporation | 3395 S Bascom Ave, Suite 140, Campbell, CA 95008-6770 |
| Street Address |
3395 S BASCOM AVE SUITE 140 |
| City | CAMPBELL |
| State | CA |
| Zip | 95008-6770 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amr Dessouki | Ophthalmology | Retinal Diagnostic Center A Medical Corporation | 3395 S Bascom Ave, Suite 140, Campbell, CA 95008-6770 |
| Clement C Chow | Ophthalmology | Retinal Diagnostic Center A Medical Corporation | 3395 S Bascom Ave, Suite 140, Campbell, CA 95008-6770 |
| Brian Ward | Ophthalmology | Retinal Diagnostic Center A Medical Corporation | 3395 S Bascom Ave, Suite 140, Campbell, CA 95008-6770 |
| Howard Chen | Ophthalmology | Retinal Diagnostic Center A Medical Corporation | 3395 S Bascom Ave, Suite 140, Campbell, CA 95008-6770 |
| Lingmin He | Ophthalmology | Retinal Diagnostic Center A Medical Corporation | 3395 S Bascom Ave, Suite 140, Campbell, CA 95008-6770 |
| Patrick M Monahan | Ophthalmology | Retinal Diagnostic Center A Medical Corporation | 3395 S Bascom Ave, Suite 140, Campbell, CA 95008-6770 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melody L Lynd | Plastic and Reconstructive Surgery | 80 E Hamilton Ave, Campbell, CA 95008-0204 | |
| Jennifer Strangis | Physical Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Jared M Mason | Physical Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Sandra Deryke | Physical Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Allison Lorraine Keneally | Physical Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Sarah E Christiansen | Physical Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Michelle Regoli | Occupational Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Jennifer Jones | Physical Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Kanchan Anjaneya Thakar | Physical Therapy | Deryke and Associates, Inc | 201 E Hamilton Ave, Campbell, CA 95008-0206 |
| Albert Tailon Chang | Optometry | Peter W Ross Od and Larry K Wan Od Inc | 338 E Hamilton Ave, Campbell, CA 95008-0207 |
| Find all physicians in zip 95008 | |||
| City | CAMPBELL |
| Zip Code | 95008 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | CAMPBELL + OPHTHALMOLOGY |
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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.