Marissa Izabel San Miguel (NPI# 1245751742, PAC ID# 7810248234) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1245751742 |
| PAC ID by PECOS | 7810248234 |
| Professional Enrollment ID | I20180925001716 |
| Full Name | Marissa Izabel San Miguel |
| Organization Legal Name | DAVID MOORE OD PC |
| Address |
261 N Harbin Dr Stephenville TX 76401-2814 |
| Phone Number | 2549682345 |
| Gender | F |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 2017 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0244387256 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 5912 Convair Dr, Suite 208, Fort Worth, TX 76109-1269 | 2549682345 | CLEAR EYE ASSOCIATES AND OPTICAL PC |
| 5912 Convair Dr, Ft Worth, TX 76109-1185 | 8178807917 | SUPERIOR EYE CARE PC |
| 261 N Harbin Dr, Stephenville, TX 76401-2814 | 2549682345 | DAVID MOORE OD PC |
| Organization Legal Name | DAVID MOORE OD PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Evonne Watt | Optometry | David Moore Od PC | 261 N Harbin Dr, Stephenville, TX 76401-2814 |
| Kevin Soong | Optometry | David Moore Od PC | 261 N Harbin Dr, Stephenville, TX 76401-2814 |
| David A Moore | Optometry | David Moore Od PC | 261 N Harbin Dr, Stephenville, TX 76401-2814 |
| Street Address |
261 N HARBIN DR |
| City | STEPHENVILLE |
| State | TX |
| Zip | 76401-2814 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Evonne Watt | Optometry | David Moore Od PC | 261 N Harbin Dr, Stephenville, TX 76401-2814 |
| Kevin Soong | Optometry | David Moore Od PC | 261 N Harbin Dr, Stephenville, TX 76401-2814 |
| David A Moore | Optometry | David Moore Od PC | 261 N Harbin Dr, Stephenville, TX 76401-2814 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry M Bragg | General Surgery | Larry Bragg Md Pa | 561 N Graham, Stephenville, TX 76401 |
| Kaja R Carpenter | Speech Language Pathologist | 2581 Nw Loop, Stephenville, TX 76401-1601 | |
| Steven M Thomas | Chiropractic | 2551 Nw Loop B, Stephenville, TX 76401-1645 | |
| James W Smith | Obstetrics/gynecology | Stephenville Medical and Surgical Clinic Pa | 150 River N Blvd, Stephenville, TX 76401-1803 |
| Janie S Mcmillion | Obstetrics/gynecology | Stephenville Medical and Surgical Clinic Pa | 150 River N Blvd, Stephenville, TX 76401-1803 |
| Kam W Ip | Family Medicine | Stephenville Medical and Surgical Clinic Pa | 150 River N Blvd, Stephenville, TX 76401-1803 |
| Miranda A Nash | Internal Medicine | Stephenville Medical and Surgical Clinic Pa | 150 River N Blvd, Stephenville, TX 76401-1803 |
| Lester C Ong | Internal Medicine | Stephenville Medical and Surgical Clinic Pa | 150 River N Blvd, Stephenville, TX 76401-1803 |
| Trevor J Kerr | Ophthalmology | Stephenville Medical and Surgical Clinic Pa | 150 River N Blvd, Stephenville, TX 76401-1803 |
| Kevin A Kerr | Ophthalmology | Stephenville Medical and Surgical Clinic Pa | 150 River N Blvd, Stephenville, TX 76401-1803 |
| Find all physicians in zip 76401 | |||
| City | STEPHENVILLE |
| Zip Code | 76401 |
| Specialty | OPTOMETRY |
| City + Specialty | STEPHENVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on Marissa Izabel San Miguel.
| 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.