Jeremy Michael Fast (NPI# 1730217795, PAC ID# 1254309834) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1730217795 |
PAC ID by PECOS | 1254309834 |
Professional Enrollment ID | I20040930000388 |
Full Name | Jeremy Michael Fast |
Organization Legal Name | EYECARE PROFESSIONALS INC |
Address |
111 N Main St Nevada MO 64772-2330 |
Phone Number | 4176673076 |
Gender | M |
Credential | OD |
Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
Graduation Year | 2004 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 5193793776 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
111 N Main St, Nevada, MO 64772-2330 | 4176673076 | EYECARE PROFESSIONALS INC |
Organization Legal Name | EYECARE PROFESSIONALS INC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Delton L Fast | Optometry | Eyecare Professionals Inc | 111 N Main St, Nevada, MO 64772-2330 |
Street Address |
111 N MAIN ST |
City | NEVADA |
State | MO |
Zip | 64772-2330 |
Name | Specialty | Organization | Address |
---|---|---|---|
Andrew E Paull | Chiropractic | 111 N Main St, Suite 100, Janesville, WI 53545-3072 | |
Deborah Roberts Spicer | Clinical Social Worker | 111 N Main St, Cynthiana, KY 41031-1206 | |
Delton L Fast | Optometry | Eyecare Professionals Inc | 111 N Main St, Nevada, MO 64772-2330 |
Gordon R Wouters | Family Medicine | 111 N Main St, Urbana, MO 65767-9152 |
Name | Specialty | Organization | Address |
---|---|---|---|
Wesley M Ledom | Psychologist, Clinical | 700 E Highland Ave, Nevada, MO 64772-1025 | |
Gary A Kurtz | Chiropractic | 1804 N Ash St, Nevada, MO 64772-1110 | |
David L Neidel | Clinical Social Worker | 100 S Prewitt, Nevada, MO 64772-1760 | |
Robert F Ingegneri | Psychologist, Clinical | 300 W Cherry St, Nevada, MO 64772-2202 | |
Mark Harvey Comensky | Psychologist, Clinical | 300 W Cherry St, Nevada, MO 64772-2202 | |
Nathan S Box | Otolaryngology | Freeman-oak Hill Health System | 216 N Main, Freeman Heart Institute, Nevada, MO 64772-2332 |
Russell R Kemm | Family Medicine | 216 N Main, Nevada, MO 64772-2332 | |
Linda Davidson | Psychologist, Clinical | 212 N Main St, Nevada, MO 64772-2332 | |
Christopher J Carlin | Psychologist, Clinical | 101 N Commercial St, Nevada, MO 64772-2607 | |
Robyn S Moore | Chiropractic | 523 W Austin Blvd, Nevada, MO 64772-3127 | |
Find all physicians in zip 64772 |
City | NEVADA |
Zip Code | 64772 |
Specialty | OPTOMETRY |
City + Specialty | NEVADA + 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.