Mark A Botwin (NPI# 1861436495, PAC ID# 0648282079) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1861436495 |
PAC ID by PECOS | 0648282079 |
Professional Enrollment ID | I20060628000356 |
Full Name | Mark A Botwin |
Organization Legal Name | BOTWIN EYE GROUP PA |
Address |
444 Saint Michaels Dr A Santa Fe NM 87505-7674 |
Phone Number | 5059544442 |
Gender | M |
Credential | OD |
Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
Graduation Year | 1976 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 1052486891 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
444 Saint Michaels Dr A, Santa Fe, NM 87505-7674 | 5059544442 | BOTWIN EYE GROUP PA |
Organization Legal Name | BOTWIN EYE GROUP PA |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Micayla Fisher-ives | Optometry | Botwin Eye Group Pa | 444 Saint Michaels Dr A, Santa Fe, NM 87505-7674 |
Jonathan D Botwin | Optometry | Botwin Eye Group Pa | 444 Saint Michaels Dr A, Santa Fe, NM 87505-7674 |
Jeremy Botwin | Optometry | Botwin Eye Group Pa | 444 Saint Michaels Dr A, Santa Fe, NM 87505-7674 |
Street Address |
444 SAINT MICHAELS DR A |
City | SANTA FE |
State | NM |
Zip | 87505-7674 |
Name | Specialty | Organization | Address |
---|---|---|---|
Micayla Fisher-ives | Optometry | Botwin Eye Group Pa | 444 Saint Michaels Dr A, Santa Fe, NM 87505-7674 |
Jonathan D Botwin | Optometry | Botwin Eye Group Pa | 444 Saint Michaels Dr A, Santa Fe, NM 87505-7674 |
Jeremy Botwin | Optometry | Botwin Eye Group Pa | 444 Saint Michaels Dr A, Santa Fe, NM 87505-7674 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelly Jamison | Nurse Practitioner | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
Sanjay Bardwaj | Physical Therapy | Sf Sports Md and Rehab | 104 Old Las Vegas Hwy, Santa Fe, NM 87505 |
Laura K Merrigan | Nurse Practitioner | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
Nancy C Lehrhaupt | Nurse Practitioner | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
Candace R Kenyon | Physical Therapy | Sf Sports Md and Rehab | 104 Old Las Vegas Hwy, Santa Fe, NM 87505 |
Alyson F Yacono | Physical Therapy | Sf Sports Md and Rehab | 104 Old Las Vegas Hwy, Santa Fe, NM 87505 |
Thomas Longley | Family Medicine | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
Amy Jelliffe | Psychiatry | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
Melinda M Ramirez | Physical Therapy | Sf Sports Md and Rehab | 104 Old Las Vegas Hwy, Santa Fe, NM 87505 |
Kamasamudram Ravilochan | Neurology | Presbyterian Healthcare Services | 454 St Michaels, Santa Fe, NM 87505 |
Find all physicians in zip 87505 |
City | SANTA FE |
Zip Code | 87505 |
Specialty | OPTOMETRY |
City + Specialty | SANTA FE + OPTOMETRY |
Please comment or provide details below to improve the information on Mark A Botwin.
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.