Jeffrey M Fanelli (NPI# 1831153881, PAC ID# 1052465937) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1831153881 |
| PAC ID by PECOS | 1052465937 |
| Professional Enrollment ID | I20090811000623 |
| Full Name | Jeffrey M Fanelli |
| Organization Legal Name | LARRY R FABIAN AND JEFFREY M FANELLI PTRS WESTSIDE FAMILY VISION CENTE |
| Address |
1817 Hamilton Ave San Jose CA 95125-5624 |
| Phone Number | 4082641555 |
| Gender | M |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1984 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3072542273 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1817 Hamilton Ave, San Jose, CA 95125-5624 | 4082641555 | LARRY R FABIAN AND JEFFREY M FANELLI PTRS WESTSIDE FAMILY VISION CENTE |
| Organization Legal Name | LARRY R FABIAN AND JEFFREY M FANELLI PTRS WESTSIDE FAMILY VISION CENTE |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Fabian | Optometry | Larry R Fabian and Jeffrey M Fanelli Ptrs Westside Family Vision Cente | 1817 Hamilton Ave, San Jose, CA 95125-5624 |
| Mary E Dougherty | Optometry | Larry R Fabian and Jeffrey M Fanelli Ptrs Westside Family Vision Cente | 1817 Hamilton Ave, San Jose, CA 95125-5624 |
| Street Address |
1817 HAMILTON AVE |
| City | SAN JOSE |
| State | CA |
| Zip | 95125-5624 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Fabian | Optometry | Larry R Fabian and Jeffrey M Fanelli Ptrs Westside Family Vision Cente | 1817 Hamilton Ave, San Jose, CA 95125-5624 |
| Mary E Dougherty | Optometry | Larry R Fabian and Jeffrey M Fanelli Ptrs Westside Family Vision Cente | 1817 Hamilton Ave, San Jose, CA 95125-5624 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Graham A Macaulay | Chiropractic | 1102 Bird Ave, Suite 20, San Jose, CA 95125-1700 | |
| Julie N Trainor | Optometry | Trainor and Ngan Professional Optometric Corporation | 1172 Lincoln Ave, San Jose, CA 95125-3001 |
| Kevin M Trainor | Optometry | Trainor and Ngan Professional Optometric Corporation | 1172 Lincoln Ave, San Jose, CA 95125-3001 |
| Noelle Sung | Optometry | Trainor and Ngan Professional Optometric Corporation | 1172 Lincoln Ave, San Jose, CA 95125-3001 |
| Elizabeth Mendoza-weitzman | Clinical Social Worker | 1153 Lincoln Ave, Suite I, San Jose, CA 95125-3009 | |
| Jack Weitzman | Clinical Social Worker | 1153 Lincoln Ave I, San Jose, CA 95125-3009 | |
| Sian R Lindsay | General Practice | 1226 Lincoln Ave, Suite 100, San Jose, CA 95125-3025 | |
| Robert Mascarotti | Chiropractic | 1058 Lincoln Ave, San Jose, CA 95125-3110 | |
| Andrew J Petulla | Physical Therapy | 2048 Lincoln Ave, San Jose, CA 95125-3449 | |
| Lisa Ann Calloway | Occupational Therapy | 1421 Gerhardt Ave, San Jose, CA 95125-4022 | |
| Find all physicians in zip 95125 | |||
| City | SAN JOSE |
| Zip Code | 95125 |
| Specialty | OPTOMETRY |
| City + Specialty | SAN JOSE + 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.