Michelle L Brooks (NPI# 1760737175, PAC ID# 7810262904) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1760737175 |
| PAC ID by PECOS | 7810262904 |
| Professional Enrollment ID | I20170928002735 |
| Full Name | Michelle L Brooks |
| Organization Legal Name | BERGELT OPTOMETRIC LLC |
| Address |
2672 David H Mcleod Blvd Florence SC 29501-4042 |
| Phone Number | 8437732758 |
| Gender | F |
| Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduation Year | 2012 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5092007666 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2672 David H Mcleod Blvd, Florence, SC 29501-4042 | 8437732758 | BERGELT OPTOMETRIC LLC |
| 900 Us 52 Hwy, Lake City, SC 29560-5906 | 8435984689 | BERGELT OPTOMETRIC LLC |
| Organization Legal Name | BERGELT OPTOMETRIC LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Garrett Pennell | Optometry | Bergelt Optometric LLC | 2795 N Rd, Orangeburg, SC 29118-2806 |
| Jaison G Panicker | Optometry | Bergelt Optometric LLC | 251 Andover Pl, Darlington, SC 29532-1500 |
| Edward Lemon | Optometry | Bergelt Optometric LLC | 900 Us 52 Hwy, Lake City, SC 29560-5906 |
| William G Ahders | Optometry | Bergelt Optometric LLC | 2401 Augusta Rd, West Columbia, SC 29169-4543 |
| Raymond G Poole | Optometry | Bergelt Optometric LLC | 2672 David H Mcleod Blvd, Florence, SC 29501-4042 |
| Vincent F Zeplin Jr. | Optometry | Bergelt Optometric LLC | 2010 Paxville Hwy, Manning, SC 29102-6434 |
| Solita Jones Bergelt | Optometry | Bergelt Optometric LLC | 2672 David H Mcleod Blvd, Florence, SC 29501-4042 |
| Kelle F Siegmund | Optometry | Bergelt Optometric LLC | 2672 David H Mcleod Blvd, Florence, SC 29501-4042 |
| Miles D Scruggs | Optometry | Bergelt Optometric LLC | 2672 David H Mcleod Blvd, Florence, SC 29501-4042 |
| Glenn S Matheny | Optometry | Bergelt Optometric LLC | 2672 David H Mcleod Blvd, Florence, SC 29501-4042 |
| Street Address |
2672 DAVID H MCLEOD BLVD |
| City | FLORENCE |
| State | SC |
| Zip | 29501-4042 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond G Poole | Optometry | Bergelt Optometric LLC | 2672 David H Mcleod Blvd, Florence, SC 29501-4042 |
| Solita Jones Bergelt | Optometry | Bergelt Optometric LLC | 2672 David H Mcleod Blvd, Florence, SC 29501-4042 |
| Kelle F Siegmund | Optometry | Bergelt Optometric LLC | 2672 David H Mcleod Blvd, Florence, SC 29501-4042 |
| Miles D Scruggs | Optometry | Bergelt Optometric LLC | 2672 David H Mcleod Blvd, Florence, SC 29501-4042 |
| Glenn S Matheny | Optometry | Bergelt Optometric LLC | 2672 David H Mcleod Blvd, Florence, SC 29501-4042 |
| Willie L Boyd | Ophthalmology | Bergelt Optometric LLC | 2672 David H Mcleod Blvd, Florence, SC 29501-4042 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel E Seltzer | Ophthalmology | Carolinas Centers for Sight, PC | 400 N Cashua Dr, Florence, SC 29501-2098 |
| Joy H Coursey | Certified Registered Nurse Anesthetist (crna) | Florence Surgery and Laser Center LLC | 400 N Cashua Dr, Florence, SC 29501-2098 |
| Nagavivek P Vasuki | Ophthalmology | Carolinas Centers for Sight, PC | 400 N Cashua Dr, Florence, SC 29501-2098 |
| Michael Sinclair Bolick | Certified Registered Nurse Anesthetist (crna) | Florence Surgery and Laser Center LLC | 400 N Cashua Dr, Florence, SC 29501-2098 |
| Howard Noble Greene | Ophthalmology | Carolinas Centers for Sight, PC | 400 N Cashua Dr, Florence, SC 29501-2098 |
| Michele A Scott | Family Medicine | Hopehealth, Inc. | 360 N Irby St, Florence, SC 29501-2808 |
| Lisa Christina Lanning Lowther | Family Medicine | Hopehealth, Inc. | 360 N Irby St, Florence, SC 29501-2808 |
| Michelle Dawn Poston | Nurse Practitioner | Hopehealth, Inc. | 360 N Irby St, Florence, SC 29501-2808 |
| Supen Patel | Rheumatology | Hopehealth, Inc. | 360 N Irby St, Florence, SC 29501-2808 |
| Mary Denise Mitchell | Nurse Practitioner | Hopehealth, Inc. | 360 N Irby St, Florence, SC 29501-2808 |
| Find all physicians in zip 29501 | |||
| City | FLORENCE |
| Zip Code | 29501 |
| Specialty | OPTOMETRY |
| City + Specialty | FLORENCE + OPTOMETRY |
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| 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.