Jeffrey D Wine (NPI# 1609962323, PAC ID# 0749289619) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1609962323 |
| PAC ID by PECOS | 0749289619 |
| Professional Enrollment ID | I20061204000605 |
| Full Name | Jeffrey D Wine |
| Organization Legal Name | EYES ON SITE PLLC |
| Address |
3210 S Gilbert Rd Suite 2 Chandler AZ 85286-5108 |
| Phone Number | 4806268925 |
| Gender | M |
| Credential | OD |
| Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2006 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3779659263 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3210 S Gilbert Rd, Suite 2, Chandler, AZ 85286-5108 | 4806268925 | EYES ON SITE PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 84% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | EYES ON SITE PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Shane Leonard | Optometry | Eyes On Site Pllc | 3210 S Gilbert Rd, Suite 2, Chandler, AZ 85286-5108 |
| Street Address |
3210 S GILBERT RD SUITE 2 |
| City | CHANDLER |
| State | AZ |
| Zip | 85286-5108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Shane Leonard | Optometry | Eyes On Site Pllc | 3210 S Gilbert Rd, Suite 2, Chandler, AZ 85286-5108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica A Lumpkin | Family Medicine | Gila River Health Care Corporation | 3042 W Queen Creek Rd, Red Tail Hawk Health Center, Chandler, AZ 85286-0038 |
| Melinda S Shelley | Nurse Practitioner | Gila River Health Care Corporation | 3042 W Queen Creek Rd, Red Tail Hawk Health Center, Chandler, AZ 85286-0038 |
| Lorraine S Aguilar | Nurse Practitioner | Gila River Health Care Corporation | 3042 W Queen Creek Rd, Red Tail Hawk Health Center, Chandler, AZ 85286-0038 |
| Joy M Cole | Nurse Practitioner | Gila River Health Care Corporation | 3042 W Queen Creek Rd, Red Tail Hawk Health Center, Chandler, AZ 85286-0038 |
| Teresa Q Gonzales | Nurse Practitioner | Gila River Health Care Corporation | 3042 W Queen Creek Rd, Red Tail Hawk Health Center, Chandler, AZ 85286-0038 |
| Mackenzie S Black | Optometry | Gila River Health Care Corporation | 3042 W Queen Creek Rd, Red Tail Hawk Health Center, Chandler, AZ 85286-0038 |
| Kendra M Wilson | Nurse Practitioner | Gila River Health Care Corporation | 3042 W Queen Creek Rd, Red Tail Hawk Health Center, Chandler, AZ 85286-0038 |
| Patricia R Maybee | Nurse Practitioner | Gila River Health Care Corporation | 3042 W Queen Creek Rd, Red Tail Hawk Health Center, Chandler, AZ 85286-0038 |
| Carly Np Sirota | Nurse Practitioner | Gila River Health Care Corporation | 3042 W Queen Creek Rd, Red Tail Hawk Health Center, Chandler, AZ 85286-0038 |
| Marlene D Allshouse | Nurse Practitioner | Gila River Health Care Corporation | 3042 W Queen Creek Rd, Red Tail Hawk Health Center, Chandler, AZ 85286-0038 |
| Find all physicians in zip 85286 | |||
| City | CHANDLER |
| Zip Code | 85286 |
| Specialty | OPTOMETRY |
| City + Specialty | CHANDLER + OPTOMETRY |
Please comment or provide details below to improve the information on Jeffrey D Wine.
| 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.