Charles O Mccormick Iii (NPI# 1700879830, PAC ID# 8426054289) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1700879830 |
| PAC ID by PECOS | 8426054289 |
| Professional Enrollment ID | I20100618000222 |
| Full Name | Charles O Mccormick Iii |
| Organization Legal Name | INDIANA EYE CLINIC, LLC |
| Address |
30 N Emerson Ave Greenwood IN 46143-8895 |
| Phone Number | 3178813937 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 8820094683 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 30 N Emerson Ave, Greenwood, IN 46143-8895 | 3178813937 | INDIANA EYE CLINIC, LLC |
| 1100 Southfield Dr, Suite 1320, Plainfield, IN 46168-4499 | 3178397300 | INDIANA EYE CLINIC, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | INDIANA EYE CLINIC, LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon Nicholas Terry | Optometry | Indiana Eye Clinic, LLC | 30 N Emerson Ave, Greenwood, IN 46143-8895 |
| Carissa Michelle Barina | Ophthalmology | Indiana Eye Clinic, LLC | 30 N Emerson Ave, Greenwood, IN 46143-8895 |
| Thomas M Funk | Optometry | Indiana Eye Clinic, LLC | 30 N Emerson Ave, Greenwood, IN 46143-8895 |
| William F. Keeling | Ophthalmology | Indiana Eye Clinic, LLC | 30 N Emerson Ave, Greenwood, IN 46143-8895 |
| Nicholas R Rader | Ophthalmology | Indiana Eye Clinic, LLC | 30 N Emerson Ave, Greenwood, IN 46143-8895 |
| Street Address |
30 N EMERSON AVE |
| City | GREENWOOD |
| State | IN |
| Zip | 46143-8895 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandon Nicholas Terry | Optometry | Indiana Eye Clinic, LLC | 30 N Emerson Ave, Greenwood, IN 46143-8895 |
| Carissa Michelle Barina | Ophthalmology | Indiana Eye Clinic, LLC | 30 N Emerson Ave, Greenwood, IN 46143-8895 |
| Thomas M Funk | Optometry | Indiana Eye Clinic, LLC | 30 N Emerson Ave, Greenwood, IN 46143-8895 |
| William F. Keeling | Ophthalmology | Indiana Eye Clinic, LLC | 30 N Emerson Ave, Greenwood, IN 46143-8895 |
| Nicholas R Rader | Ophthalmology | Indiana Eye Clinic, LLC | 30 N Emerson Ave, Greenwood, IN 46143-8895 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Minesh Dinesh Rajkotia | Family Medicine | Community Physicians of Indiana Inc | 333 E Co Line Rd B, Greenwood, IN 46143-1046 |
| Tracy Renee Hammond | Nurse Practitioner | Community Physicians of Indiana Inc | 333 E Co Line Rd B, Greenwood, IN 46143-1046 |
| Mery A Kendall | Family Medicine | Community Physicians of Indiana Inc | 333 E Co Line Rd B, Greenwood, IN 46143-1046 |
| Charles Angelo Salazar | Obstetrics/gynecology | Community Physicians of Indiana Inc | 333 E Co Line Rd B, Greenwood, IN 46143-1046 |
| Ryan J. Sanderson | Family Medicine | Community Physicians of Indiana Inc | 333 E Co Line Rd B, Greenwood, IN 46143-1046 |
| Angela Denise Morris | Nurse Practitioner | Community Physicians of Indiana Inc | 333 E Co Line Rd B, Greenwood, IN 46143-1046 |
| Anneke Elisabeth Warren Nave | Clinical Social Worker | Community Physicians of Indiana Inc | 333 E Co Line Rd B, Greenwood, IN 46143-1046 |
| Debra K Taylor | Nurse Practitioner | Community Physicians of Indiana Inc | 333 E Co Line Rd B, Greenwood, IN 46143-1046 |
| Priyanka Agrawal | Family Medicine | Community Physicians of Indiana Inc | 333 E Co Line Rd B, Greenwood, IN 46143-1046 |
| Erica Pohlman | Internal Medicine | Community Physicians of Indiana Inc | 333 E Co Line Rd B, Greenwood, IN 46143-1046 |
| Find all physicians in zip 46143 | |||
| City | GREENWOOD |
| Zip Code | 46143 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | GREENWOOD + OPHTHALMOLOGY |
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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.