Matthew P Axline (NPI# 1811003957, PAC ID# 8022074327) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1811003957 |
| PAC ID by PECOS | 8022074327 |
| Professional Enrollment ID | I20041208000764 |
| Full Name | Matthew P Axline |
| Organization Legal Name | PREMIER OPTOMETRY GROUP, LLC |
| Address |
399 E Church St Marion OH 43302-4137 |
| Phone Number | 7403878414 |
| Gender | M |
| Credential | OD |
| Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2004 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6901806306 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 399 E Church St, Marion, OH 43302-4137 | 7403878414 | PREMIER OPTOMETRY GROUP, LLC |
| Organization Legal Name | PREMIER OPTOMETRY GROUP, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory V Ferrell | Optometry | Premier Optometry Group, LLC | 399 E Church St, Marion, OH 43302-4137 |
| Wayne H Collier | Optometry | Premier Optometry Group, LLC | 905 S Poplar St, Bucyrus, OH 44820-2663 |
| Street Address |
399 E CHURCH ST |
| City | MARION |
| State | OH |
| Zip | 43302-4137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory V Ferrell | Optometry | Premier Optometry Group, LLC | 399 E Church St, Marion, OH 43302-4137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Qihui J Liu | Family Medicine | Marion Area Physicians LLC | 130 University Dr, Suite 1100, Marion, OH 43302-1104 |
| Cassandra Louise Israel | Family Medicine | Marion Area Physicians LLC | 130 University Dr, Suite 1100, Marion, OH 43302-1104 |
| Michael Jarosick | Emergency Medicine | Ohiohealth Urgent Care LLC | 130 University Dr, Suite 1300, Marion, OH 43302-1104 |
| Charles Thompson | Family Medicine | Marion Area Physicians LLC | 130 University Dr, Suite 1100, Marion, OH 43302-1104 |
| Woodrow P Barry | Physician Assistant | Marion Independent Physicians Association, LLC | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 |
| Srinivas P Ravi | General Surgery | Marion Independent Physicians Association, LLC | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 |
| Rachel Fisher | Nurse Practitioner | Marion Independent Physicians Association, LLC | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 |
| Mark E Davis | Family Medicine | Marion Independent Physicians Association, LLC | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 |
| Elizabeth D Hensel | Physical Therapy | Marion Independent Physicians Association, LLC | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 |
| Donald H Mcintire | Psychologist, Clinical | Marion Independent Physicians Association, LLC | 1069 Delaware Ave, Suite 205, Marion, OH 43302-1400 |
| Find all physicians in zip 43302 | |||
| City | MARION |
| Zip Code | 43302 |
| Specialty | OPTOMETRY |
| City + Specialty | MARION + 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.