Jesse B Mize Iii (NPI# 1235104068, PAC ID# 7416907787) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1235104068 |
| PAC ID by PECOS | 7416907787 |
| Professional Enrollment ID | I20050125000322 |
| Full Name | Jesse B Mize Iii |
| Organization Legal Name | JESSE BEN MIZE III AND CHRISTIE MIZE PTR |
| Address |
706 Washington St Ravenswood Eye Ravenswood WV 26164-1772 |
| Phone Number | 3042732020 |
| Gender | M |
| Credential | OD |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1993 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8123078649 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 706 Washington St, Ravenswood Eye, Ravenswood, WV 26164-1772 | 3042732020 | JESSE BEN MIZE III AND CHRISTIE MIZE PTR |
| Organization Legal Name | JESSE BEN MIZE III AND CHRISTIE MIZE PTR |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Rachel Mize | Optometry | Jesse Ben Mize IIi and Christie Mize Ptr | 706 Washington St, Ravenswood Eye, Ravenswood, WV 26164-1772 |
| Street Address |
706 WASHINGTON ST RAVENSWOOD EYE |
| City | RAVENSWOOD |
| State | WV |
| Zip | 26164-1772 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Rachel Mize | Optometry | Jesse Ben Mize IIi and Christie Mize Ptr | 706 Washington St, Ravenswood Eye, Ravenswood, WV 26164-1772 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd Richard Myers | General Practice | 1113 Washington St, Suite 203, Ravenswood, WV 26164-1020 | |
| Lily Lily Hill | Nurse Practitioner | Ravenswood Family Medicine Ctr | 316 Washington St, Ravenswood, WV 26164-1704 |
| Scott Gordon | Psychiatry | Mindcare Solutions PC | 200 S Ritchie Ave, Ravenswood, WV 26164-1721 |
| Rex A Cummings | Optometry | 105 Royal St, Ravenswood, WV 26164-1725 | |
| Tabitha Lynn Smith | Nurse Practitioner | Ohio Valley Physicians Inc | 705 Washington St, Ravenswood, WV 26164-1729 |
| David Grant Shy | Anesthesiology | Ohio Valley Physicians Inc | 705 Washington St, Ravenswood, WV 26164-1729 |
| Shannon Lynn Tennant | Physical Therapy | Community Health Association | 511 Washington St, Ravenswood, WV 26164-1733 |
| Kelly R Fluty | Physical Therapy | Community Health Association | 511 Washington St, Ravenswood, WV 26164-1733 |
| Kylie Hammer | Physical Therapy | First Settlement Physical Therapy | 240 Washington St, Ravenswood, WV 26164-1842 |
| City | RAVENSWOOD |
| Zip Code | 26164 |
| Specialty | OPTOMETRY |
| City + Specialty | RAVENSWOOD + OPTOMETRY |
Please comment or provide details below to improve the information on Jesse B Mize Iii.
| 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.