Tom L Mitchell Jr. (NPI# 1013992239, PAC ID# 1355314048) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1013992239 |
| PAC ID by PECOS | 1355314048 |
| Professional Enrollment ID | I20100628000852 |
| Full Name | Tom L Mitchell Jr. |
| Organization Legal Name | MONTGOMERY EYE PHYSICIANS PC |
| Address |
2752 Zelda Rd Montgomery AL 36106-2694 |
| Phone Number | 3342713804 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 7113990805 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010023 | BAPTIST MEDICAL CENTER SOUTH |
| Address | Phone | Organization |
|---|---|---|
| 2752 Zelda Rd, Montgomery, AL 36106-2694 | 3342713804 | MONTGOMERY EYE PHYSICIANS PC |
| 8131 Seaton Pl, Montgomery, AL 36116-7205 | 3343231889 | MONTGOMERY EYE PHYSICIANS PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | MONTGOMERY EYE PHYSICIANS PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| In C Shin | Ophthalmology | Montgomery Eye Physicians PC | 2752 Zelda Rd, Montgomery, AL 36106-2694 |
| Timothy M Meadows | Optometry | Montgomery Eye Physicians PC | 645 Mcqueen Smith N Rd, Prattville, AL 36066-7268 |
| John L Swan | Ophthalmology | Montgomery Eye Physicians PC | 2752 Zelda Rd, Montgomery, AL 36106-2694 |
| Michael B Bradford | Optometry | Montgomery Eye Physicians PC | 2752 Zelda Rd, Montgomery, AL 36106-2694 |
| Tyler George Mcfaden | Optometry | Montgomery Eye Physicians PC | 2752 Zelda Rd, Montgomery, AL 36106-2694 |
| Katherine J Donnithorne | Ophthalmology | Montgomery Eye Physicians PC | 2752 Zelda Rd, Montgomery, AL 36106-2694 |
| Street Address |
2752 ZELDA RD |
| City | MONTGOMERY |
| State | AL |
| Zip | 36106-2694 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James W Cowell | Certified Registered Nurse Anesthetist (crna) | Montgomery Anesthesia, LLC | 2752 Zelda Rd, Montgomery, AL 36106-2694 |
| In C Shin | Ophthalmology | Montgomery Eye Physicians PC | 2752 Zelda Rd, Montgomery, AL 36106-2694 |
| John L Swan | Ophthalmology | Montgomery Eye Physicians PC | 2752 Zelda Rd, Montgomery, AL 36106-2694 |
| Michael B Bradford | Optometry | Montgomery Eye Physicians PC | 2752 Zelda Rd, Montgomery, AL 36106-2694 |
| Tyler George Mcfaden | Optometry | Montgomery Eye Physicians PC | 2752 Zelda Rd, Montgomery, AL 36106-2694 |
| Katherine J Donnithorne | Ophthalmology | Montgomery Eye Physicians PC | 2752 Zelda Rd, Montgomery, AL 36106-2694 |
| Ann M Karst | Certified Registered Nurse Anesthetist (crna) | Montgomery Anesthesia, LLC | 2752 Zelda Rd, Montgomery, AL 36106-2694 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn D Bedsole | Infectious Disease | 1801 Pine St, Montgomery, AL 36106-0165 | |
| Richard A Stehl | Family Practice | 1801 Pine St, Montgomery, AL 36106-0165 | |
| Wesley H Barry Jr. | General Surgery | Jackson Hospital and Clinic, Inc. | 1722 Pine St, Suite 904, Montgomery, AL 36106-1104 |
| Alfred J Newman Jr. | Urology | 1722 Pine St, Suite 903, Montgomery, AL 36106-1104 | |
| Nannette Laraine Mcdaniel | Family Practice | Adams Family Practice PC | 1323 B Mulberry St, Montgomery, AL 36106-1106 |
| Jacquelin Ratunil Chua | Rheumatology | Jackson Hospital and Clinic, Inc. | 1722 Pine St, Suite 801, Montgomery, AL 36106-1108 |
| Shyam Padmanabhan | Cardiovascular Disease (cardiology) | Jackson Hospital and Clinic, Inc. | 1725 Pine St, Montgomery, AL 36106-1109 |
| Eric S Cunningham | Internal Medicine | Jackson Hospital and Clinic, Inc. | 1725 Pine St, Montgomery, AL 36106-1109 |
| Rikka Asuncion Banayat | Internal Medicine | Jackson Hospital and Clinic, Inc. | 1725 Pine St, Montgomery, AL 36106-1109 |
| Christopher O Ike | Cardiovascular Disease (cardiology) | Jackson Hospital and Clinic, Inc. | 1725 Pine St, Montgomery, AL 36106-1109 |
| Find all physicians in zip 36106 | |||
| City | MONTGOMERY |
| Zip Code | 36106 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | MONTGOMERY + OPHTHALMOLOGY |
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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.