Austin Ray Lifferth (NPI# 1134106636, PAC ID# 7911982921) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1134106636 |
PAC ID by PECOS | 7911982921 |
Professional Enrollment ID | I20180326000947 |
Full Name | Austin Ray Lifferth |
Organization Legal Name | GROSSNICKLE EYE CENTER, INC. |
Address |
4330 Edison Lakes Pkwy Suite A Mishawaka IN 46545-1446 |
Phone Number | 5742710120 |
Gender | M |
Credential | OD |
Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
Graduation Year | 2003 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 7810897758 |
Number of Group Practice Members | 11 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
4330 Edison Lakes Pkwy, Suite A, Mishawaka, IN 46545-1446 | 5742710120 | GROSSNICKLE EYE CENTER, INC. |
2251 Dubois Dr, Warsaw, IN 46580-3212 | 5742692777 | GROSSNICKLE EYE CENTER, INC. |
Organization Legal Name | GROSSNICKLE EYE CENTER, INC. |
Physicians | 10 |
Name | Specialty | Organization | Address |
---|---|---|---|
Matthew C Ralstin | Ophthalmology | Grossnickle Eye Center, Inc. | 4330 Edison Lakes Pkwy, Suite A, Mishawaka, IN 46545-1446 |
Jon E Mark | Optometry | Grossnickle Eye Center, Inc. | 2251 Dubois Dr, Warsaw, IN 46580-3212 |
Bruce P Grossnickle | Ophthalmology | Grossnickle Eye Center, Inc. | 4330 Edison Lakes Pkwy A, Mishawaka, IN 46545-1446 |
Ann Unijin Madden | Optometry | Grossnickle Eye Center, Inc. | 1510 Osolo Rd, Elkhart, IN 46514-4122 |
Allison A Pernic | Ophthalmology | Grossnickle Eye Center, Inc. | 1510 Osolo Rd, Elkhart, IN 46514-4122 |
David F Ryser | Ophthalmology | Grossnickle Eye Center, Inc. | 4330 Edison Lakes Pkwy, Suite A, Mishawaka, IN 46545-1446 |
Ann K Buikema-wiarda | Ophthalmology | Grossnickle Eye Center, Inc. | 4330 Edison Lakes Pkwy, Suite A, Mishawaka, IN 46545-1446 |
Kristina Offerle | Optometry | Grossnickle Eye Center, Inc. | 1510 Osolo Rd, Elkhart, IN 46514-4122 |
Christopher D Knight | Ophthalmology | Grossnickle Eye Center, Inc. | 4330 Edison Lakes Pkwy, Suite A, Mishawaka, IN 46545-1446 |
Street Address |
4330 EDISON LAKES PKWY SUITE A |
City | MISHAWAKA |
State | IN |
Zip | 46545-1446 |
Name | Specialty | Organization | Address |
---|---|---|---|
Matthew C Ralstin | Ophthalmology | Grossnickle Eye Center, Inc. | 4330 Edison Lakes Pkwy, Suite A, Mishawaka, IN 46545-1446 |
David F Ryser | Ophthalmology | Grossnickle Eye Center, Inc. | 4330 Edison Lakes Pkwy, Suite A, Mishawaka, IN 46545-1446 |
Ann K Buikema-wiarda | Ophthalmology | Grossnickle Eye Center, Inc. | 4330 Edison Lakes Pkwy, Suite A, Mishawaka, IN 46545-1446 |
Christopher D Knight | Ophthalmology | Grossnickle Eye Center, Inc. | 4330 Edison Lakes Pkwy, Suite A, Mishawaka, IN 46545-1446 |
Name | Specialty | Organization | Address |
---|---|---|---|
Marielvea A Banks | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
Sean R Horner | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
Rami Musleh | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
Meghan M Barrus | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
Ann M Grubb | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
Duane M Wampler | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
Eugene Huang | Emergency Medicine | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
Steven D Whaley | Anesthesiology | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
Angela Blagojevski | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
Danny E Winn | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
Find all physicians in zip 46545 |
City | MISHAWAKA |
Zip Code | 46545 |
Specialty | OPTOMETRY |
City + Specialty | MISHAWAKA + 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.