Jared J Fairbanks (NPI# 1881031524, PAC ID# 7416199617) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1881031524 |
| PAC ID by PECOS | 7416199617 |
| Professional Enrollment ID | I20130819000547 |
| Full Name | Jared J Fairbanks |
| Address |
4118 W Division St Saint Cloud MN 56301-3706 |
| Gender | M |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 2013 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4118 W Division St, Saint Cloud, MN 56301-3706 | ||
| 1605 1st St S, Willmar, MN 56201-4234 | 3202355853 | MIDWEST VISION CENTERS INC |
| Street Address |
4118 W DIVISION ST |
| City | SAINT CLOUD |
| State | MN |
| Zip | 56301-3706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Anna Shaffer | Optometry | 4118 W Division St, Saint Cloud, MN 56301-3706 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth J Flynn | Psychologist, Clinical | 3400 1st St N, Suite 300, St Cloud, MN 56301 | |
| Ashley S Eisenschenk | Nurse Practitioner | Centracare Clinic | 1406 6th Ave N, St Cloud, MN 56301 |
| Kayla R Ferrie | Clinical Social Worker | Centracare Clinic | 1406 6th Ave N, St Cloud, MN 56301 |
| Sara A Lahti | Registered Dietitian Or Nutrition Professional | Centracare Clinic | 1406 6th Ave N, St Cloud, MN 56301 |
| Patricia J Blonigen-heinen | Clinical Social Worker | Centracare Clinic | 1406 6th Ave N, St Cloud, MN 56301 |
| Kelsey A Diederich | Physical Therapy | Centracare Clinic | 1406 6th Ave N, St Cloud, MN 56301 |
| Stephanie L Baas | Psychologist, Clinical | Centracare Clinic | 1406 6th Ave N, St Cloud, MN 56301 |
| Paul R Sander | Cardiovascular Disease (cardiology) | Centracare Clinic | 1406 6th Ave N, St Cloud, MN 56301 |
| Cindy A Happe | Clinical Social Worker | 2653 County Rd, Suite 74, Saint Cloud, MN 56301-2205 | |
| Emily S Schwartz | Optometry | 901 W Saint Germain St, Saint Cloud, MN 56301-3460 | |
| Find all physicians in zip 56301 | |||
| City | SAINT CLOUD |
| Zip Code | 56301 |
| Specialty | OPTOMETRY |
| City + Specialty | SAINT CLOUD + OPTOMETRY |
Please comment or provide details below to improve the information on Jared J Fairbanks.
| 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.