Max M Edrington (NPI# 1336172428, PAC ID# 0749353084) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1336172428 |
PAC ID by PECOS | 0749353084 |
Professional Enrollment ID | I20080721000422 |
Full Name | Max M Edrington |
Organization Legal Name | LONG BEACH PRECISION VISION LLC |
Address |
202 E Railroad St Long Beach MS 39560-4627 |
Phone Number | 2288682020 |
Gender | M |
Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
Graduation Year | 1972 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 7719251743 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
202 E Railroad St, Long Beach, MS 39560-4627 | 2288682020 | LONG BEACH PRECISION VISION LLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | LONG BEACH PRECISION VISION LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jason Wilson | Optometry | Long Beach Precision Vision LLC | 202 E Railroad St, Long Beach, MS 39560-4627 |
Street Address |
202 E RAILROAD ST |
City | LONG BEACH |
State | MS |
Zip | 39560-4627 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jason Wilson | Optometry | Long Beach Precision Vision LLC | 202 E Railroad St, Long Beach, MS 39560-4627 |
Name | Specialty | Organization | Address |
---|---|---|---|
David L Reeves | Pediatric Medicine | Memorial Hospital At Gulfport | 20091 Pineville Rd, Long Beach, MS 39560-3208 |
Valerie R Lenox | Internal Medicine | Memorial Hospital At Gulfport | 5120 Beatline Rd, Suite B, Long Beach, MS 39560-3815 |
Betty D Edrington | Nurse Practitioner | Memorial Hospital At Gulfport | 5120 Beatline Rd, Long Beach, MS 39560-3815 |
Nancy C Montz | Internal Medicine | Memorial Hospital At Gulfport | 5120 Beatline Rd, Long Beach, MS 39560-3815 |
Thomas L Graves | Emergency Medicine | Memorial Hospital At Gulfport | 5120 Beatline Rd, Suite B, Long Beach, MS 39560-3815 |
Melissa Tucker | Family Medicine | Memorial Hospital At Gulfport | 5120 Beatline Rd, Suite B, Long Beach, MS 39560-3815 |
Cristina Rupp | Nurse Practitioner | Memorial Hospital At Gulfport | 5120 Beatline Rd, Long Beach, MS 39560-3815 |
George Ward | Family Medicine | Memorial Hospital At Gulfport | 5120 Beatline Rd, Long Beach, MS 39560-3815 |
James M Ryan | Nurse Practitioner | Memorial Hospital At Gulfport | 5120 Beatline Rd, Suite B, Long Beach, MS 39560-3815 |
Douglas L Bates | Physical Therapy | Encore Rehabilitation Inc | 5107 Beatline Rd, Suite 300, Long Beach, MS 39560-3874 |
Find all physicians in zip 39560 |
City | LONG BEACH |
Zip Code | 39560 |
Specialty | OPTOMETRY |
City + Specialty | LONG BEACH + 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.