Vincent D Venincasa (NPI# 1154709970, PAC ID# 6709167661) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1154709970 |
| PAC ID by PECOS | 6709167661 |
| Professional Enrollment ID | I20190807002555 |
| Full Name | Vincent D Venincasa |
| Organization Legal Name | EDMOND REGIONAL EYE ASSOCIATES INC |
| Address |
920 S Bryant Ave Suite 100 Edmond OK 73034-5797 |
| Phone Number | 4053414238 |
| Gender | M |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 9133159924 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370236 | INTEGRIS HEALTH EDMOND |
| Address | Phone | Organization |
|---|---|---|
| 920 S Bryant Ave, Suite 100, Edmond, OK 73034-5797 | 4053414238 | EDMOND REGIONAL EYE ASSOCIATES INC |
| Organization Legal Name | EDMOND REGIONAL EYE ASSOCIATES INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Gourley | Ophthalmology | Edmond Regional Eye Associates Inc | 920 S Bryant Ave, Suite 100, Edmond, OK 73034-5797 |
| Michael Andrew Hogue | Ophthalmology | Edmond Regional Eye Associates Inc | 920 S Bryant Ave, Suite 100, Edmond, OK 73034-5797 |
| Street Address |
920 S BRYANT AVE SUITE 100 |
| City | EDMOND |
| State | OK |
| Zip | 73034-5797 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Gourley | Ophthalmology | Edmond Regional Eye Associates Inc | 920 S Bryant Ave, Suite 100, Edmond, OK 73034-5797 |
| Michael Andrew Hogue | Ophthalmology | Edmond Regional Eye Associates Inc | 920 S Bryant Ave, Suite 100, Edmond, OK 73034-5797 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica Tubbesing | Nurse Practitioner | Ltac Hospital of Edmond, LLC | 1100 E 9th St, Edmond Amg Specialty Hospital LLC, Edmond, OK 73034-0000 |
| Erich H Muckala | Diagnostic Radiology | Kettering Network Radiologists Inc | 5000 Tower Bridge Ct, Edmond, OK 73034-0857 |
| Wenjia Zeng | Physical Medicine and Rehabilitation | 1964 Bella Sera Dr, Edmond, OK 73034-2516 | |
| Nitin Sawheny | Internal Medicine | 2074 Bella Sera Dr, Edmond, OK 73034-2525 | |
| Aamir Mohammad | General Practice | In Patient Care Physician Services LLC | 1409 Territories Dr, Edmond, OK 73034-2650 |
| Murray O Hamilton | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 2114 Chiswick Rd, Edmond, OK 73034-2930 |
| William J Hale Ii | Orthopedic Surgery | 941 W I-35 Frontage Rd, Suite A D, Edmond, OK 73034-2994 | |
| Wendy Louise Parks | Nurse Practitioner | Intergrative Medical Solutions Pllc | 65 S Saint Blvd, Edmond, OK 73034-3051 |
| Walter Scott Waugh Iii | Sports Medicine | Intergrative Medical Solutions Pllc | 65 S Saint Blvd, Edmond, OK 73034-3051 |
| Ashlee M Waugh | Family Medicine | Intergrative Medical Solutions Pllc | 65 S Saint Blvd, Edmond, OK 73034-3051 |
| Find all physicians in zip 73034 | |||
| City | EDMOND |
| Zip Code | 73034 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | EDMOND + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Vincent D Venincasa.
| 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.