Stacy A Twenhafel (NPI# 1407901051, PAC ID# 2466493390) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1407901051 |
| PAC ID by PECOS | 2466493390 |
| Professional Enrollment ID | I20050520000098 |
| Full Name | Stacy A Twenhafel |
| Organization Legal Name | JAK ENTERPRISES INC |
| Address |
907 W Marketview Dr Champaign IL 61822-1227 |
| Phone Number | 2173518822 |
| Gender | F |
| Credential | OD |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 2004 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3173519014 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 907 W Marketview Dr, Champaign, IL 61822-1227 | 2173518822 | JAK ENTERPRISES INC |
| Organization Legal Name | JAK ENTERPRISES INC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharna Annise Wiltz | Optometry | Jak Enterprises Inc | 3287 Court St, Pekin, IL 61554-6208 |
| Molly M Guithues | Optometry | Jak Enterprises Inc | 331 W 1st Dr, Decatur, IL 62521-5207 |
| Nicole M Jensen | Optometry | Jak Enterprises Inc | 1200 W Main St, Suite 21, Peoria, IL 61606-1218 |
| Rhonda Dameron | Optometry | Jak Enterprises Inc | 8309 N Knoxville Ave, Suite 1, Peoria, IL 61615-2171 |
| Steven H Lane | Optometry | Jak Enterprises Inc | 1351 Hickory Point Dr, B, Forsyth, IL 62535-1085 |
| Jeffrey S Heden | Optometry | Jak Enterprises Inc | 4032 46th Ave, Rock Island, IL 61201-7164 |
| Brian D Henson | Optometry | Jak Enterprises Inc | 1712 W Reynold Rd, Pontiac, IL 61764-9695 |
| John J Rimkus | Optometry | Jak Enterprises Inc | 3215 E Lincolnway, Sterling, IL 61081-1772 |
| David R Morgret | Optometry | Jak Enterprises Inc | 1265 N Henderson St, Galesburg, IL 61401-1510 |
| Joseph B Jackson | Optometry | Jak Enterprises Inc | 3323 Frontage Rd, Peru, IL 61354-1101 |
| Street Address |
907 W MARKETVIEW DR |
| City | CHAMPAIGN |
| State | IL |
| Zip | 61822-1227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kerra Meyers | Nurse Practitioner | Osf Multi-specialty Group | 2710 N Prospect Ave, Champaign, IL 61822-1298 |
| Kathleen E El Koury | Clinical Social Worker | Insight Therapy | 3362 Big Pine Trl, Suite A, Champaign, IL 61822-1409 |
| Todd F Harrison | Clinical Social Worker | Insight Therapy | 3362 Big Pine Trl, Suite A, Champaign, IL 61822-1409 |
| Angela L Jackson | Clinical Social Worker | Insight Therapy | 3362 Big Pine Trl, Suite A, Champaign, IL 61822-1409 |
| Parin Patel | Urology | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Davendra P Ramkumar | Gastroenterology | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Sarah A Spizzirri | Podiatry | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Douglas S. Bull | Ophthalmology | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Chris W. Schmidt | Ophthalmology | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Robert P Cusick | Orthopedic Surgery | Christie Clinic, LLC | 3101 Fields S Dr, Champaign, IL 61822-3743 |
| Find all physicians in zip 61822 | |||
| City | CHAMPAIGN |
| Zip Code | 61822 |
| Specialty | OPTOMETRY |
| City + Specialty | CHAMPAIGN + OPTOMETRY |
Please comment or provide details below to improve the information on Stacy A Twenhafel.
| 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.