Wyche Coleman Iii (NPI# 1841491826, PAC ID# 0941473359) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1841491826 |
| PAC ID by PECOS | 0941473359 |
| Professional Enrollment ID | I20111031000704 |
| Full Name | Wyche Coleman Iii |
| Organization Legal Name | WK PIERREMONT EYE INSTITUTE |
| Address |
2611 Greenwood Rd Shreveport LA 71103-3907 |
| Phone Number | 3182122020 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2007 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 3375563216 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| 190007 | NATCHITOCHES REGIONAL MEDICAL CENTER |
| 190098 | UNIVERSITY HEALTH SHREVEPORT |
| Address | Phone | Organization |
|---|---|---|
| 1420 Kings Hwy, Shreveport, LA 71103-4227 | 3186756901 | LSU HEALTH SCIENCES CENTER-SHREVEPORT FACULTY GROUP PRACTICE |
| 1541 Kings Hwy, Shreveport, LA 71103-4228 | 3186755000 | LSU HEALTH SCIENCES CENTER-SHREVEPORT FACULTY GROUP PRACTICE |
| 2611 Greenwood Rd, Shreveport, LA 71103-3907 | 3182122020 | WK PIERREMONT EYE INSTITUTE |
| Organization Legal Name | WK PIERREMONT EYE INSTITUTE |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James P Swearingen Jr. | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Stephen W Lewis | Optometry | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Margaret A Wheat- Sipes | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Janusz Luka | Optometry | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| David D Bryan | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Christopher L Shelby | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Street Address |
2611 GREENWOOD RD |
| City | SHREVEPORT |
| State | LA |
| Zip | 71103-3907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James P Swearingen Jr. | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Stephen W Lewis | Optometry | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Margaret A Wheat- Sipes | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Janusz Luka | Optometry | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| David D Bryan | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Christopher L Shelby | Ophthalmology | Wk Pierremont Eye Institute | 2611 Greenwood Rd, Shreveport, LA 71103-3907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sophia Tayebeh Shokouh-amiri | Family Medicine | Wk Pierre Ave Community Health Education and Wellness Center | 1327 Pierre Ave, Shreveport, LA 71103-3056 |
| Tiffany George | Nurse Practitioner | Wk Pierre Ave Community Health Education and Wellness Center | 1327 Pierre Ave, Shreveport, LA 71103-3056 |
| Tymwa Dixon | Family Medicine | Wk Pierre Ave Community Health Education and Wellness Center | 1327 Pierre Ave, Shreveport, LA 71103-3056 |
| Candace Funderburk | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Billy Miller | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Lynnon L Connerly | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Kurvis A Davis | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Matthew Porter | Emergency Medicine | Cross Lake Emergency Group, LLC | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Maurice A Hawley Jr. | Anesthesiology | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Stephen E Dailey | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Find all physicians in zip 71103 | |||
| City | SHREVEPORT |
| Zip Code | 71103 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | SHREVEPORT + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Wyche Coleman Iii.
| 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.