Michael J Ennis (NPI# 1336229186, PAC ID# 0244367795) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1336229186 |
PAC ID by PECOS | 0244367795 |
Professional Enrollment ID | I20100415000181 |
Full Name | Michael J Ennis |
Address |
131 Glensford Dr Suite 105 Fayetteville NC 28314-2365 |
Phone Number | 9108602020 |
Gender | M |
Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
Graduation Year | 1986 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
131 Glensford Dr, Suite 105, Fayetteville, NC 28314-2365 | 9108602020 |
Street Address |
131 GLENSFORD DR SUITE 105 |
City | FAYETTEVILLE |
State | NC |
Zip | 28314-2365 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kerry Malcolm Reeves | Optometry | 131 Glensford Dr, Suite 105, Fayetteville, NC 28314-2365 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard M Kuhns Iii | Chiropractic | 6415 Brookstone Ln, Suite 102, Fayetteville, NC 28314-0075 | |
Cecilia V Ainolhayat | Family Medicine | Cumberland County Hospital System Inc | 2112 Skibo Rd, Fayetteville, NC 28314-0233 |
Daniel C Uba | Internal Medicine | 1905 Skibo Rd, Suite 100, Fayetteville, NC 28314-0261 | |
Salvatore C Daniele | Chiropractic | 1905 Skibo Rd, Suite 103, Fayetteville, NC 28314-0261 | |
Kenya D Bass | Physician Assistant | Rapha Health Systems, Inc | 1905 Skibo Rd, Suite 100, Fayetteville, NC 28314-0261 |
Trang T Ngo | Nurse Practitioner | Matrix Occupational Health Inc | 217 Glensford Dr, Fayetteville, NC 28314-0892 |
Herman A Allison | Nurse Practitioner | Matrix Occupational Health Inc | 217 Glensford Dr, Fayetteville, NC 28314-0892 |
Peter Graham Johnson | Preventative Medicine | Matrix Occupational Health Inc | 217 Glensford Dr, Fayetteville, NC 28314-0892 |
Abiose Lasaki | Family Practice | Matrix Occupational Health Inc | 217 Glensford Dr, Fayetteville, NC 28314-0892 |
John K Throckmorton | Podiatry | Gooden Mobile Pod Nc Pllc | 311 Mcfadyen Dr, Fayetteville, NC 28314-0937 |
Find all physicians in zip 28314 |
City | FAYETTEVILLE |
Zip Code | 28314 |
Specialty | OPTOMETRY |
City + Specialty | FAYETTEVILLE + 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.