Lance R Mintle (NPI# 1457445439, PAC ID# 8224086350) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1457445439 |
PAC ID by PECOS | 8224086350 |
Professional Enrollment ID | I20050105000896 |
Full Name | Lance R Mintle |
Address |
9606 271st St Nw Stanwood WA 98292-8096 |
Gender | M |
Credential | OD |
Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
Graduation Year | 1995 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
9606 271st St Nw, Stanwood, WA 98292-8096 |
Street Address |
9606 271ST ST NW |
City | STANWOOD |
State | WA |
Zip | 98292-8096 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joe Bolewicz | Physical Therapy | Stanwood Camano Physical Therapy, LLC | 9612 270th St Nw, Stanwood, WA 98292-1906 |
Tina L Richards | Physical Therapy | Stanwood Camano Physical Therapy, LLC | 9612 270th St Nw, Stanwood, WA 98292-1906 |
Janice K Stegmiller | Physical Therapy | Stanwood Camano Physical Therapy, LLC | 9612 270th St Nw, Stanwood, WA 98292-1906 |
Jasdeep K Sidhu | Optometry | 27101 Pioneer Hwy, Stanwood, WA 98292-6057 | |
Timothy J Nixon | Optometry | 27101 Pioneer Hwy, Stanwood, WA 98292-6057 | |
Christopher Bolander | Family Medicine | The Everett Clinic Pllc | 7205 265th St Nw, Stanwood, WA 98292-6221 |
Susan E Carmody | Nurse Practitioner | The Everett Clinic Pllc | 7205 265th St Nw, Stanwood, WA 98292-6221 |
Grant E Taylor | Family Medicine | The Everett Clinic Pllc | 7205 265th St Nw, Stanwood, WA 98292-6221 |
Sara Rahman | Internal Medicine | The Everett Clinic Pllc | 7205 265th St Nw, Stanwood, WA 98292-6221 |
Joy R Fackenthall | Family Medicine | The Everett Clinic Pllc | 7205 265th St Nw, Stanwood, WA 98292-6221 |
Find all physicians in zip 98292 |
City | STANWOOD |
Zip Code | 98292 |
Specialty | OPTOMETRY |
City + Specialty | STANWOOD + 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.