Daniel J Vidlak (NPI# 1477648772, PAC ID# 6709813595) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1477648772 |
| PAC ID by PECOS | 6709813595 |
| Professional Enrollment ID | I20060214000338 |
| Full Name | Daniel J Vidlak |
| Organization Legal Name | EYE CARE GROUP OF SOUTHERN OREGON PC |
| Address |
335 Caves Hwy Cave Junction OR 97523-9604 |
| Phone Number | 5415923921 |
| Gender | M |
| Credential | OD |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1997 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4082629290 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 335 Caves Hwy, Cave Junction, OR 97523-9604 | 5415923921 | EYE CARE GROUP OF SOUTHERN OREGON PC |
| 1022 Nw 6th St, Grants Pass, OR 97526-1114 | 5414764545 | EYE CARE GROUP OF SOUTHERN OREGON PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | EYE CARE GROUP OF SOUTHERN OREGON PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela M Dedionisio | Optometry | Eye Care Group of Southern Oregon PC | 1022 Nw 6th St, Grants Pass, OR 97526-1114 |
| Maisha Bonnie Langella | Optometry | Eye Care Group of Southern Oregon PC | 335 Caves Hwy, Cave Junction, OR 97523-9604 |
| Jeffrey S Pelson | Optometry | Eye Care Group of Southern Oregon PC | 335 Caves Hwy, Cave Junction, OR 97523-9604 |
| Scott M Walters | Optometry | Eye Care Group of Southern Oregon PC | 1022 Nw 6th St, Grants Pass, OR 97526-1114 |
| Street Address |
335 CAVES HWY |
| City | CAVE JUNCTION |
| State | OR |
| Zip | 97523-9604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maisha Bonnie Langella | Optometry | Eye Care Group of Southern Oregon PC | 335 Caves Hwy, Cave Junction, OR 97523-9604 |
| Jeffrey S Pelson | Optometry | Eye Care Group of Southern Oregon PC | 335 Caves Hwy, Cave Junction, OR 97523-9604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathanial Baker | Chiropractic | Total Performance Sports Medicine, PC | 202 Lister St, Cave Junction, OR 97523-9047 |
| Scott W Thorsen | Chiropractic | Total Performance Sports Medicine, PC | 202 Lister St, Cave Junction, OR 97523-9047 |
| Nicholas James Baker | Chiropractic | Total Performance Sports Medicine, PC | 202 Lister St, Cave Junction, OR 97523-9047 |
| Barbara J Franklin | Nurse Practitioner | Siskiyou Community Health Center, Inc | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 |
| Kimberly L Waller | Physician Assistant | Siskiyou Community Health Center, Inc | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 |
| Christian S Holland | Internal Medicine | Siskiyou Community Health Center, Inc | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 |
| Paloma S Kolkow | Nurse Practitioner | Siskiyou Community Health Center, Inc | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 |
| Dawn M Cogliser | Nurse Practitioner | Siskiyou Community Health Center, Inc | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 |
| Kristi R Ibarra | Nurse Practitioner | Siskiyou Community Health Center, Inc | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 |
| Gabriel E Maciel | Nurse Practitioner | Siskiyou Community Health Center, Inc | 25647 Redwood Hwy, Cave Junction, OR 97523-9332 |
| Find all physicians in zip 97523 | |||
| City | CAVE JUNCTION |
| Zip Code | 97523 |
| Specialty | OPTOMETRY |
| City + Specialty | CAVE JUNCTION + OPTOMETRY |
Please comment or provide details below to improve the information on Daniel J Vidlak.
| 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.