Kenneth D Strong (NPI# 1508897331, PAC ID# 1355473331) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1508897331 |
PAC ID by PECOS | 1355473331 |
Professional Enrollment ID | I20111205000331 |
Full Name | Kenneth D Strong |
Organization Legal Name | PRIMARY EYECARE OF ELBA, INC |
Address |
961 Al Hwy 203 Elba AL 36323-4228 |
Phone Number | 3348975100 |
Gender | M |
Medical School | UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY |
Graduation Year | 1976 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 8022035179 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
961 Al Hwy 203, Elba, AL 36323-4228 | 3348975100 | PRIMARY EYECARE OF ELBA, INC |
Organization Legal Name | PRIMARY EYECARE OF ELBA, INC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mitchell V Purvis | Optometry | Primary Eyecare of Elba, Inc | 961 Al Hwy 203, Elba, AL 36323-4228 |
Street Address |
961 AL HWY 203 |
City | ELBA |
State | AL |
Zip | 36323-4228 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mitchell V Purvis | Optometry | Primary Eyecare of Elba, Inc | 961 Al Hwy 203, Elba, AL 36323-4228 |
Name | Specialty | Organization | Address |
---|---|---|---|
Wyndi M Thompson | Nurse Practitioner | Houston County Healthcare Authority | 252 Larkin Rd, Elba, AL 36323-5102 |
Lance K Dyess | Family Medicine | 252 Larkin Rd, Elba, AL 36323-5102 |
City | ELBA |
Zip Code | 36323 |
Specialty | OPTOMETRY |
City + Specialty | ELBA + 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.