Lawrence E Addison Jr. (NPI# 1760794697, PAC ID# 9335336346) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1760794697 |
| PAC ID by PECOS | 9335336346 |
| Professional Enrollment ID | I20140212000810 |
| Full Name | Lawrence E Addison Jr. |
| Organization Legal Name | SHOPKO STORES OPERATING CO LLC |
| Address |
125 Main St Hutchinson MN 55350-2654 |
| Phone Number | 3205874945 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0749292639 |
| Number of Group Practice Members | 138 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1209 18th Ave Nw, Austin, MN 55912-1881 | 5074378228 | SHOPKO STORES OPERATING CO LLC |
| 125 Main St, Hutchinson, MN 55350-2654 | 3205874945 | SHOPKO STORES OPERATING CO LLC |
| Organization Legal Name | SHOPKO STORES OPERATING CO LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor L Douglas | Optometry | Shopko Stores Operating Co LLC | 900 W Memorial Rd, Shopko Optical 123, Houghton, MI 44931-2481 |
| James D Mckell | Optometry | Shopko Stores Operating Co LLC | 955 N Main St, Spanish Fork, UT 84660-1150 |
| Kelly Rd Mccarthy | Optometry | Shopko Stores Operating Co LLC | 510 E Philip Ave, North Platte, NE 69101-5538 |
| Jodi A Bergstrom | Optometry | Shopko Stores Operating Co LLC | 801 W Central Entrance, Duluth, MN 55811-5468 |
| Kellye P Zaporski | Optometry | Shopko Stores Operating Co LLC | 701 S Church St, Watertown, WI 53094-6213 |
| Theresa M Dellaert | Optometry | Shopko Stores Operating Co LLC | 255 John F Kennedy Rd, Dubuque, IA 52002-5313 |
| Karl T Jepson | Optometry | Shopko Stores Operating Co LLC | 510 E Phillip Ave, North Platte, NE 69101-5538 |
| Jared W Nelson | Optometry | Shopko Stores Operating Co LLC | 747 S Main St, Brigham City, UT 84302-3359 |
| Margaret A Wolan | Optometry | Shopko Stores Operating Co LLC | 7401 Mineral Point Rd, Madison, WI 53717-1703 |
| Robert P Todd | Optometry | Shopko Stores Operating Co LLC | 211 S 23rd St, Shopko Optical 4662, Plattsmouth, NE 68048-2903 |
| Street Address |
125 MAIN ST |
| City | HUTCHINSON |
| State | MN |
| Zip | 55350-2654 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barnett T Schrier | Optometry | 125 Main St, Stony Brook, NY 11790-1911 | |
| Lori C Baldanza | Nurse Practitioner | Mary Imogene Bassett Hospital | 125 Main St, Oneonta, NY 13820-2507 |
| Angela R Smith | Nurse Practitioner | Sgoh Acquisition Inc | 125 Main St, Noel, MO 64854-9124 |
| Maria F Enix | Clinical Social Worker | 125 Main St, Suite 504, Bradford, PA 16701-2057 | |
| Derrick J Hamilton | Internal Medicine | Juniper Health Inc | 125 Main St, Beattyville, KY 41311-7484 |
| Jenny Faye Mullins | Family Medicine | Juniper Health Inc | 125 Main St, Beattyville, KY 41311-7484 |
| Jacqueline J Littzi | Ophthalmology | 125 Main St, New Canaan, CT 06840-5507 | |
| Samantha Lewis | Nurse Practitioner | Juniper Health Inc | 125 Main St, Beattyville, KY 41311-7484 |
| Alan Schwartz | Clinical Social Worker | 125 Main St, Suite 3, Springfield, MA 01105-2416 | |
| Andrea M Lloyd | Optometry | Shopko Stores Operating Co LLC | 125 Main St, Hutchinson, MN 55350-2654 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra L Timperley | Optometry | 1300 Trunk Hwy 15 S, Hutchinson, MN 55350 | |
| Celeste D Wherry | Chiropractic | 720 Century Swave, Suite 108, Hutchinson, MN 55350 | |
| Christopher R Wallyn | Ophthalmology | Regional Eye Specialists Pa | 1455 Montreal St Se, Hutchinson, MN 55350-0699 |
| Michael P Merck | Ophthalmology | Regional Eye Specialists Pa | 1455 Montreal St Se, Hutchinson, MN 55350-0699 |
| James W Kuehl | Chiropractic | 85 1st Ave Nw, Hutchinson, MN 55350-1603 | |
| Guy M Caspers | Chiropractic | 103 3rd Ave Nw, Hutchinson, MN 55350-1650 | |
| Margaret Stella Wangen | Clinical Social Worker | 255 Hwy 7 E, Hutchinson, MN 55350-1749 | |
| Yael M Rubin | Psychologist, Clinical | 16 Washington W Ave, Suite 100, Hutchinson, MN 55350-2481 | |
| Keith R Kamrath | Chiropractic | 125 Main S St, Hutchinson, MN 55350-2506 | |
| Adam J Fink | Chiropractic | 233 Hassan St Se, Hutchinson, MN 55350-2524 | |
| Find all physicians in zip 55350 | |||
| City | HUTCHINSON |
| Zip Code | 55350 |
| Specialty | OPTOMETRY |
| City + Specialty | HUTCHINSON + OPTOMETRY |
Please comment or provide details below to improve the information on Lawrence E Addison Jr..
| 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.