DR. IVAN MAC (NPI# 1689654592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689654592 |
| Entity Type | Individual |
| Full Name | DR. IVAN MAC |
| Credential | MD |
| Practice Address |
630 Comfort Ln Monroe NC 28112-6199 |
| Practice Telephone | 7042895455 |
| Practice Fax Number | 7042912207 |
| Mailing Telephone | 7042895455 |
| Mailing Fax Number | 7042912207 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2010-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 200401094 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89138MJ | 05 |
| Street Address |
630 COMFORT LN |
| City | MONROE |
| State | NC |
| Zip Code | 28112-6199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417949413 | Spring Luellen Plihcik | Optometrist | 630 Comfort Ln, Monroe, NC 28112-6199 | 2005-08-17 |
| 1578042883 | Metrolina Eye Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 630 Comfort Ln, Monroe, NC 28112-6199 | 2018-08-08 |
| 1578052221 | Benjamin Poznic | Optometrist | 630 Comfort Ln, Monroe, NC 28112-6199 | 2018-05-08 |
| 1932375367 | Stacy M Schorner | Optometrist | 630 Comfort Ln, Monroe, NC 28112-6199 | 2008-05-06 |
| 1770612574 | Dara Khalatbari | Ophthalmology | 630 Comfort Ln, Ste E, Monroe, NC 28112-6493 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000620 | Paladina Health, LLC | Family Medicine | Paladina Health Monroe Campus Park, 1640 A Campus Park Drive, Monroe, NC 28112 | 2019-02-22 |
| 1073078408 | Sharelle Monique Hatley | Social Worker | 501 North Charlotte Ave, Suite C-214, Monroe, NC 28112 | 2019-02-11 |
| 1740762509 | Fox Counseling and Consulting, Pllc | Social Worker | 311 W Jefferson Street, Monroe, NC 28112 | 2018-08-29 |
| 1760976062 | Kinena J Dent-smith | Community/Behavioral Health | 207 Raymond St, Monroe, NC 28112 | 2018-06-20 |
| 1093225468 | Healthstat Onsite Clinic Parkdale Plant 21 | Preventive Medicine | 5005 Waxhaw Highway 75, Monroe, NC 28112 | 2017-10-11 |
| 1871026567 | H.o.p.e. Advancement, Inc. | Counselor | 349 Venus Street, Monroe, NC 28112 | 2017-04-10 |
| 1508304650 | Monroe Dental Clinic General Partnership | Dentist | 102 E Windsor Street, Monroe, NC 28112 | 2017-02-09 |
| 1073062865 | Garahetta Robin Sell | Massage Therapist | 600 West End Drive, Monroe, NC 28112 | 2016-09-22 |
| 1700280765 | Katherine Hartness | Massage Therapist | 205 N. Hayne St., Monroe, NC 28112 | 2014-10-20 |
| 1346655586 | Gaurav Chand | Internal Medicine | 1663 Campus Park Dr., Suite D, Monroe, NC 28112 | 2014-06-26 |
| Find all providers in zip 28112 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598105074 | Busharat Ahmad | Ophthalmology | 774 Windsor Court, Monroe, MI 48161 | 2013-06-28 |
| 1003154014 | Switch Eye Center, P.C. | Ophthalmology | 1218 S Telegraph Rd, Monroe, MI 48161-5516 | 2013-01-25 |
| 1871811661 | Millennium Eye Care, LLC | Ophthalmology | 4 Research Way, Monroe, NJ 08831-6801 | 2010-05-04 |
| 1588807218 | Kent G Leavitt Md Pllc | Ophthalmology | 14841 179th Ave Se Ste 110, Monroe, WA 98272-1127 | 2009-04-10 |
| 1063693406 | Jo Ann Meyer | Ophthalmology | 517 Catalpa St, Monroe, LA 71201-7426 | 2007-11-14 |
| 1831378736 | Eye Physicians of Orange County PC | Ophthalmology | 845 Rt 17m, Eye Physicians of Orange County PC, Monroe, NY 10950 | 2007-10-26 |
| 1174747059 | Vipul Chandrahas Shah | Ophthalmology | 1632 E Roosevelt Blvd, Monroe, NC 28112-4017 | 2007-04-12 |
| 1255350203 | Eye Clinic of Monroe Inc | Ophthalmology | 3101 Mercedes Dr, Monroe, LA 71201-5153 | 2006-07-19 |
| 1700839305 | Metrolina Eye Associates, Pllc | Ophthalmology | 630 Comfort Lane, Suite E, Monroe, NC 28112-6493 | 2006-05-18 |
| 1053361311 | William Jason Read | Ophthalmology | 2600 Tower Dr, Suite 111, Monroe, LA 71201-5766 | 2006-05-10 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.