John B Fassio (NPI# 1689671638, PAC ID# 6709775901) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
Nation Provider ID (NPI) | 1689671638 |
PAC ID by PECOS | 6709775901 |
Professional Enrollment ID | I20040315000697 |
Full Name | John B Fassio |
Organization Legal Name | MOUNTAIN VALLEY EYE INSTITUTE PC |
Address |
196 Arrowhead Dr Suite 5 Evanston WY 82930-8752 |
Phone Number | 4356150435 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
Graduation Year | 1989 |
Primary Specialty | OPHTHALMOLOGY |
Group Practice PAC ID | 7517856701 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
530032 | EVANSTON REGIONAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
196 Arrowhead Dr, Suite 5, Evanston, WY 82930-8752 | 4356150435 | MOUNTAIN VALLEY EYE INSTITUTE PC |
2700 Homestead Rd, Suite 30, Park City, UT 84098-4874 | 4356150435 | MOUNTAIN VALLEY EYE INSTITUTE PC |
1548 E 4500, Suite 105, Salt Lake City, UT 84117-5209 | 8014243090 | STACY R SMITH MD PC |
Organization Legal Name | MOUNTAIN VALLEY EYE INSTITUTE PC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jill Lynn Robertson | Optometry | Mountain Valley Eye Institute PC | 2700 Homestead Rd, Suite 30, Park City, UT 84098-4874 |
Street Address |
196 ARROWHEAD DR SUITE 5 |
City | EVANSTON |
State | WY |
Zip | 82930-8752 |
Name | Specialty | Organization | Address |
---|---|---|---|
Corbin N Rasmussen | Physician Assistant | Evanston Clinic Corp | 196 Arrowhead Dr, Evanston, WY 82930-8752 |
Cal L Morrow | Family Medicine | Evanston Clinic Corp | 196 Arrowhead Dr, Suite 1, Evanston, WY 82930-8752 |
Karrie L Knopf | Physician Assistant | Evanston Clinic Corp | 196 Arrowhead Dr, Evanston, WY 82930-8752 |
Richard L England | Family Medicine | Evanston Clinic Corp | 196 Arrowhead Dr, Suite 1, Evanston, WY 82930-8752 |
Carol C Kavanaugh | Internal Medicine | Evanston Clinic Corp | 196 Arrowhead Dr, Suite 2, Evanston, WY 82930-8752 |
Christopher J Reynolds | Neurology | Neurological Associates LLC | 196 Arrowhead Dr, Suite 5, Evanston, WY 82930-8752 |
Micah D Pullins | Orthopedic Surgery | Evanston Clinic Corp | 196 Arrowhead Dr, Suite 7, Evanston, WY 82930-8752 |
Gregory M Yasuda | General Surgery | Evanston Clinic Corp | 196 Arrowhead Dr, Suite 6, Evanston, WY 82930-8752 |
Ian Kendrick | Family Medicine | Evanston Clinic Corp | 196 Arrowhead Dr, Evanston, WY 82930-8752 |
Kathy Bella | Nurse Practitioner | Evanston Clinic Corp | 196 Arrowhead Dr, Suite 1, Evanston, WY 82930-8752 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Carol D Davis | Occupational Therapy | 612 County Club Dr, Ot Services, Evanston, WY 82930 | |
Vickie L Wood | Clinical Social Worker | Pioneer Counseling Services | 949 Ctr St, Evanston, WY 82930-3430 |
William Bruce Bourland | Optometry | 701 Front St, Evanston, WY 82930-3522 | |
Pamela R Fuller | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
Juliet L Jett | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
Cora J Klotzbach | Psychologist, Clinical | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
Denise M Debarre | Clinical Psychologist | Frontier Psychological Associates | 724 Front St, Suite 230, Evanston, WY 82930-3568 |
David R Russell | Optometry | 720 6th St, Evanston, WY 82930-3702 | |
Suzanne Petren | Clinical Psychologist | Mountain Regional Services, Inc | 50 Allegiance Cir, Evanston, WY 82930-3804 |
Sheri L Montgomery | Occupational Therapy | 152 Fox Point Loop Rd, Evanston, WY 82930-4784 | |
Find all physicians in zip 82930 |
City | EVANSTON |
Zip Code | 82930 |
Specialty | OPHTHALMOLOGY |
City + Specialty | EVANSTON + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on John B Fassio.
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.