Kenneth J Wich (NPI# 1861401267, PAC ID# 2769410604) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1861401267 |
| PAC ID by PECOS | 2769410604 |
| Professional Enrollment ID | I20050801001007 |
| Full Name | Kenneth J Wich |
| Organization Legal Name | EYES PA |
| Address |
82 Water St Ellsworth ME 04605-2006 |
| Phone Number | 2076678615 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 1992 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0345271284 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 82 Water St, Ellsworth, ME 04605-2006 | 2076678615 | EYES PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | EYES PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Barbay | Optometry | Eyes Pa | 82 Water St, Ellsworth, ME 04605-2006 |
| Michael H Gonyea | Optometry | Eyes Pa | 82 Water St, Ellsworth, ME 04605-2006 |
| Street Address |
82 WATER ST |
| City | ELLSWORTH |
| State | ME |
| Zip | 04605-2006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Barbay | Optometry | Eyes Pa | 82 Water St, Ellsworth, ME 04605-2006 |
| Michael H Gonyea | Optometry | Eyes Pa | 82 Water St, Ellsworth, ME 04605-2006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas S Vachon | Podiatry | Maine Coast Regional Health Facilities | 306 Main St, Ellsworth, ME 04605-1510 |
| Kristen L Mcnulty | Obstetrics/gynecology | 8 Union St, Ellsworth, ME 04605-1533 | |
| Mercedes L Ang | General Practice | Hospital Medicine Services of Maine LLC | 50 Union St, Ellsworth, ME 04605-1534 |
| Blaire A Siefken | Nurse Practitioner | Maine Coast Regional Health Facilities | 50 Union St, Ellsworth, ME 04605-1534 |
| Peter W Levasseur | Emergency Medicine | Emergency Medicine Services of Maine LLC | 50 Union St, Ellsworth, ME 04605-1534 |
| Daniel B Kairys | General Surgery | Maine Coast Regional Health Facilities | 50 Union St, Ellsworth, ME 04605-1534 |
| Kathryn Rensenbrink | Internal Medicine | Maine Coast Regional Health Facilities | 50 Union St, Ellsworth, ME 04605-1534 |
| Catherine A Shields | Anesthesiology | Maine Coast Regional Health Facilities | 50 Union St, Ellsworth, ME 04605-1534 |
| Lucille J Poulin | Family Medicine | Maine Coast Regional Health Facilities | 50 Union St, Ellsworth, ME 04605-1534 |
| Kevin M Brown | Physician Assistant | Maine Coast Regional Health Facilities | 50 Union St, Ellsworth, ME 04605-1534 |
| Find all physicians in zip 04605 | |||
| City | ELLSWORTH |
| Zip Code | 04605 |
| Specialty | OPTOMETRY |
| City + Specialty | ELLSWORTH + OPTOMETRY |
Please comment or provide details below to improve the information on Kenneth J Wich.
| 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.