Brian C Sommer (NPI# 1003986522, PAC ID# 0345331484) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1003986522 |
| PAC ID by PECOS | 0345331484 |
| Professional Enrollment ID | I20070803000519 |
| Full Name | Brian C Sommer |
| Organization Legal Name | VINTAGE OPTICAL BRIAN C SOMMER, OD, LTD. |
| Address |
417 W Jefferson St Morton IL 61550-1817 |
| Phone Number | 3092638611 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1980 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5597953380 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 417 W Jefferson St, Morton, IL 61550-1817 | 3092638611 | VINTAGE OPTICAL BRIAN C SOMMER, OD, LTD. |
| Organization Legal Name | VINTAGE OPTICAL BRIAN C SOMMER, OD, LTD. |
| Physicians | 1 |
| Street Address |
417 W JEFFERSON ST |
| City | MORTON |
| State | IL |
| Zip | 61550-1817 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Walsh | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Patricia J Geisz | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Anthony Schupp | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Jennah Siwak | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Ashley N Brandt | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Nicole Kaltwasser | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Stephanie J Shepherdson | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Emily K Getz | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Taariq Goder | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Mary E Gerig | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Find all physicians in zip 61550 | |||
| City | MORTON |
| Zip Code | 61550 |
| Specialty | OPTOMETRY |
| City + Specialty | MORTON + 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.