Leroy Maxwell Sr. (NPI# 1396758504, PAC ID# 2163456104) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1396758504 |
| PAC ID by PECOS | 2163456104 |
| Professional Enrollment ID | I20050920000743 |
| Full Name | Leroy Maxwell Sr. |
| Address |
2401 Medical Ctr Pkwy Selma AL 36701-7756 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY |
| Graduation Year | 1979 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2401 Medical Ctr Pkwy, Selma, AL 36701-7756 | ||
| 32510 Hwy 43, Thomasville, AL 36784-1611 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% |
| Street Address |
2401 MEDICAL CTR PKWY |
| City | SELMA |
| State | AL |
| Zip | 36701-7756 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard R Harris | Orthopedic Surgery | 1023 Medical Ctr Pkwy, Suite 405, Selma, AL 36701 | |
| Michael Shane Hammett | Nurse Practitioner | Taylor Internal Medicine of Selma, P.C. | 4258 Us Hwy 80 W, Selma, AL 36701-2202 |
| Shenella Carlisle | Nurse Practitioner | Homestead Palliative Care, Inc | 3005 Citizens Pkwy, Selma, AL 36701-3918 |
| Ben E Weber | Chiropractic | 2117 Broad St, Selma, AL 36701-4142 | |
| William E Lightfoot | Chiropractic | 2117 Broad St, Selma, AL 36701-4142 | |
| Allen Randolph Henderson | Chiropractic | 611 Broad St, Selma, AL 36701-4505 | |
| Ernest I Okeke | Family Medicine | 901 A Jeff Davis Ave, Selma, AL 36701-4518 | |
| Walid Wajih Freij | Neurology | 217 Broad St, 2nd Floor Swift Bldg, Selma, AL 36701-4589 | |
| Julian P Howell Jr. | Family Practice | Smartcare Hub LLC | 101 Broad St, Selma, AL 36701-4606 |
| David Ward Hodo | Psychiatry | 800 Tremont St, Selma, AL 36701-5447 | |
| Find all physicians in zip 36701 | |||
| City | SELMA |
| Zip Code | 36701 |
| Specialty | OPTOMETRY |
| City + Specialty | SELMA + OPTOMETRY |
Please comment or provide details below to improve the information on Leroy Maxwell Sr..
| 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.