Mark Humphries Jr. (NPI# 1467550731, PAC ID# 8022148055) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1467550731 |
| PAC ID by PECOS | 8022148055 |
| Professional Enrollment ID | I20100617000365 |
| Full Name | Mark Humphries Jr. |
| Organization Legal Name | EYE WORKS OF LAND O' LAKES |
| Address |
21517 Sr 54 Village Lakes Plaza Land O Lakes FL 34639 |
| Phone Number | 8139491982 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1974 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2062557937 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 21517 Sr, 54 Village Lakes Plaza, Land O Lakes, FL 34639 | 8139491982 | EYE WORKS OF LAND O' LAKES |
| Organization Legal Name | EYE WORKS OF LAND O' LAKES |
| Physicians | 1 |
| Street Address |
21517 SR 54 VILLAGE LAKES PLAZA |
| City | LAND O LAKES |
| State | FL |
| Zip | 34639 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Craven | Chiropractic | 5420 Land O Lakes Blvd, Suite 105, Land O Lakes, FL 34639-3401 | |
| Kevin L Smith | Optometry | 5488 Land O Lakes Blvd, Land O Lakes, FL 34639-3413 | |
| Matthew Romain | Physical Therapy | Physio-pro Inc | 22940 Collridge Dr, Land O Lakes, FL 34639-4076 |
| Vladimyr Jean-pierre | Physical Therapy | 4517 Clarkwood Ct, Land O Lakes, FL 34639-4094 | |
| Denise Carulli | Nurse Practitioner | Continucare Medical Management Inc | 21507 Village Lakes, Shopping Ctr Dr, Land O Lakes, FL 34639-5101 |
| Luc E Kanicky | Optometry | Eye Works of Land O Lakes | 21517 Village Lakes, Shopping Ctr Dr, Land O Lakes, FL 34639-5101 |
| Jee M Kanicky | Optometry | Eye Works of Land O Lakes | 21517 Village Lakes, Shopping Ctr Dr, Land O Lakes, FL 34639-5101 |
| Jelexza J Velez Gaetan | Family Medicine | Continucare Medical Management Inc | 21507 Village Lakes, Shopping Ctr Dr, Land O Lakes, FL 34639-5101 |
| Leslie L Horne | Chiropractic | 2414 Raden Dr, Land O Lakes, FL 34639-5105 | |
| Erika S Meier | Nurse Practitioner | Gulfside Palliative Care, LLC | 2061 Collier Pkwy, Land O Lakes, FL 34639-5202 |
| Find all physicians in zip 34639 | |||
| City | LAND O LAKES |
| Zip Code | 34639 |
| Specialty | OPTOMETRY |
| City + Specialty | LAND O LAKES + 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.