Michelle Mumford (NPI# 1821235706, PAC ID# 8224185004) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1821235706 |
PAC ID by PECOS | 8224185004 |
Professional Enrollment ID | I20111005000048 |
Full Name | Michelle Mumford |
Organization Legal Name | INNOVATIVE EYE CARE OD PLLC |
Address |
1710 Kenilworth Ave Suite 210 Charlotte NC 28203-0008 |
Phone Number | 7043481500 |
Gender | F |
Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
Graduation Year | 2008 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 0042482515 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1710 Kenilworth Ave, Suite 210, Charlotte, NC 28203-0008 | 7043481500 | INNOVATIVE EYE CARE OD PLLC |
Organization Legal Name | INNOVATIVE EYE CARE OD PLLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Caroline Kaleel Fogleman | Optometry | Innovative Eye Care Od Pllc | 1710 Kenilworth Ave, Suite 210, Charlotte, NC 28203-0008 |
Street Address |
1710 KENILWORTH AVE SUITE 210 |
City | CHARLOTTE |
State | NC |
Zip | 28203-0008 |
Name | Specialty | Organization | Address |
---|---|---|---|
Caroline Kaleel Fogleman | Optometry | Innovative Eye Care Od Pllc | 1710 Kenilworth Ave, Suite 210, Charlotte, NC 28203-0008 |
Name | Specialty | Organization | Address |
---|---|---|---|
Paula R Newsome | Optometry | 1016 S Church St, Charlotte, NC 28203-4002 | |
Michael D Baldinger | Optometry | Eyecarecenter Od Pa | 1208 S Blvd, Charlotte, NC 28203-4208 |
Jessica Lauren Del Vecchio | Nurse Practitioner | American Current Care of North Carolina PC | 1614 S Blvd, Charlotte, NC 28203-4726 |
Mary Shirley Desormes | Physician Assistant | American Current Care of North Carolina PC | 1614 S Blvd, Charlotte, NC 28203-4726 |
Lauren S Kauer | Physician Assistant | American Current Care of North Carolina PC | 1614 S Blvd, Charlotte, NC 28203-4726 |
Richard L Elsey Ii | Family Medicine | American Current Care of North Carolina PC | 1614 S Blvd, Charlotte, NC 28203-4726 |
Perry J Depietro | Family Medicine | American Current Care of North Carolina PC | 1614 S Blvd, Charlotte, NC 28203-4726 |
Ikechi Dike | Nurse Practitioner | American Current Care of North Carolina PC | 1614 S Blvd, Charlotte, NC 28203-4726 |
David C Matthews | Plastic and Reconstructive Surgery | 1719 S Blvd B, Charlotte, NC 28203-4727 | |
Margaret M Houlihan | Psychologist, Clinical | 708 E Blvd, Charlotte, NC 28203-4735 | |
Find all physicians in zip 28203 |
City | CHARLOTTE |
Zip Code | 28203 |
Specialty | OPTOMETRY |
City + Specialty | CHARLOTTE + 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.