Michael Connell (NPI# 1447669635, PAC ID# 1254552847) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1447669635 |
| PAC ID by PECOS | 1254552847 |
| Professional Enrollment ID | I20151117000593 |
| Full Name | Michael Connell |
| Organization Legal Name | TIGARD VISION CENTER, INC. |
| Address |
9169 Southwest Burnham Tigard OR 97223-6105 |
| Phone Number | 5036395115 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2014 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1355339300 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 14600 Sw Murray Scholls, Beaverton, OR 97007-9712 | 5035796695 | MURRAY SCHOLLS OPTIQUE INC |
| 14600 Sw Murray Scholls, Suite 104, Beaverton, OR 97007-9712 | 5035796695 | MURRAY SCHOLLS OPTIQUE INC |
| 9169 Southwest Burnham, Tigard, OR 97223-6105 | 5036395115 | TIGARD VISION CENTER, INC. |
| Organization Legal Name | TIGARD VISION CENTER, INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley G Smith | Optometry | Tigard Vision Center, Inc. | 9169 Southwest Burnham, Tigard, OR 97223-6105 |
| Elaine Wyner | Optometry | Tigard Vision Center, Inc. | 9169 Southwest Burnham, Tigard, OR 97223-6105 |
| Keely Hoban | Optometry | Tigard Vision Center, Inc. | 9169 Southwest Burnham, Tigard, OR 97223-6105 |
| Street Address |
9169 SOUTHWEST BURNHAM |
| City | TIGARD |
| State | OR |
| Zip | 97223-6105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley G Smith | Optometry | Tigard Vision Center, Inc. | 9169 Southwest Burnham, Tigard, OR 97223-6105 |
| Elaine Wyner | Optometry | Tigard Vision Center, Inc. | 9169 Southwest Burnham, Tigard, OR 97223-6105 |
| Keely Hoban | Optometry | Tigard Vision Center, Inc. | 9169 Southwest Burnham, Tigard, OR 97223-6105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Quincy Michael Shorthill | Physical Therapy | 8915 Swnordic Dr, Tigard, OR 97223 | |
| Robert L Marrs | Clinical Social Worker | 7175 Sw Beveland St, Suite 200, Tigard, OR 97223 | |
| Halsy J Carter | Chiropractic | 12700 Sw N Dakota St, 180 Straight Up Chiropractic, Tigard, OR 97223-0802 | |
| Heidi U Ferguson | Family Medicine | Providence Health and Services Oregon | 12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223-0803 |
| Evagelia Baros | Internal Medicine | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
| Yvonne Howell | Physician Assistant | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
| Raghuveer B Shenoy | Internal Medicine | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
| Kathryn Marie Lund | Nurse Practitioner | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
| Kevin A Brooks | Physician Assistant | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
| Kirsten A Holmes | Physician Assistant | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
| Find all physicians in zip 97223 | |||
| City | TIGARD |
| Zip Code | 97223 |
| Specialty | OPTOMETRY |
| City + Specialty | TIGARD + OPTOMETRY |
Please comment or provide details below to improve the information on Michael Connell.
| 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.