Nickelle A Kellough (NPI# 1669600102, PAC ID# 2769472349) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1669600102 |
| PAC ID by PECOS | 2769472349 |
| Professional Enrollment ID | I20040515000034 |
| Full Name | Nickelle A Kellough |
| Organization Legal Name | EYE SURGERY ASSOCIATES LLC |
| Address |
2740 Hollywood Blvd A Hollywood FL 33020-4899 |
| Phone Number | 9549252740 |
| Gender | F |
| Credential | OD |
| Graduation Year | 2000 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4688575244 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2740 Hollywood Blvd A, Hollywood, FL 33020-4899 | 9549252740 | EYE SURGERY ASSOCIATES LLC |
| 603 N Flamingo Rd, Suite 250, Pembroke Pines, FL 33028-1013 | 9544312777 | EYE SURGERY ASSOCIATES LLC |
| Organization Legal Name | EYE SURGERY ASSOCIATES LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel Sheldon Sandberg | Ophthalmology | Eye Surgery Associates LLC | 2740 Hollywood Blvd A, Hollywood, FL 33020-4899 |
| Michael Glassman | Ophthalmology | Eye Surgery Associates LLC | 2740 Hollywood Blvd A, Hollywood, FL 33020-4899 |
| Guy J Angella | Ophthalmology | Eye Surgery Associates LLC | 2740 Hollywood Blvd A, Hollywood, FL 33020-4899 |
| Arthur M Fishman | Ophthalmology | Eye Surgery Associates LLC | 603 N Flamingo Rd, Suite 250, Pembroke Pines, FL 33028-1013 |
| Albert G Caruana Jr. | Ophthalmology | Eye Surgery Associates LLC | 2740 Hollywood Blvd A, Hollywood, FL 33020-4899 |
| David T. Jones | Ophthalmology | Eye Surgery Associates LLC | 2740 Hollywood Blvd A, Hollywood, FL 33020-4899 |
| Maria Cristina Fernandez-ruiz | Ophthalmology | Eye Surgery Associates LLC | 2740 Hollywood Blvd A, Hollywood, FL 33020-4899 |
| Jacquelyn Daubert | Ophthalmology | Eye Surgery Associates LLC | 2740 Hollywood Blvd A, Hollywood, FL 33020-4899 |
| Sonali D Talsania | Ophthalmology | Eye Surgery Associates LLC | 603 N Flamingo Rd, Suite 250, Pembroke Pines, FL 33028-1013 |
| Scott C Cardone | Ophthalmology | Eye Surgery Associates LLC | 603 N Flamingo Rd, Suite 250, Pembroke Pines, FL 33028-1013 |
| Street Address |
2740 HOLLYWOOD BLVD A |
| City | HOLLYWOOD |
| State | FL |
| Zip | 33020-4899 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel Sheldon Sandberg | Ophthalmology | Eye Surgery Associates LLC | 2740 Hollywood Blvd A, Hollywood, FL 33020-4899 |
| Michael Glassman | Ophthalmology | Eye Surgery Associates LLC | 2740 Hollywood Blvd A, Hollywood, FL 33020-4899 |
| Guy J Angella | Ophthalmology | Eye Surgery Associates LLC | 2740 Hollywood Blvd A, Hollywood, FL 33020-4899 |
| Albert G Caruana Jr. | Ophthalmology | Eye Surgery Associates LLC | 2740 Hollywood Blvd A, Hollywood, FL 33020-4899 |
| David T. Jones | Ophthalmology | Eye Surgery Associates LLC | 2740 Hollywood Blvd A, Hollywood, FL 33020-4899 |
| Maria Cristina Fernandez-ruiz | Ophthalmology | Eye Surgery Associates LLC | 2740 Hollywood Blvd A, Hollywood, FL 33020-4899 |
| Jacquelyn Daubert | Ophthalmology | Eye Surgery Associates LLC | 2740 Hollywood Blvd A, Hollywood, FL 33020-4899 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernadette M Evitt | Physician Assistant | Hollywood Medical Clinic LLC | 750 S Federal Hwy, Hollywood, FL 33020 |
| Jennifer M Ridenoure | Physician Assistant | Hollywood Medical Clinic LLC | 750 S Federal Hwy, Hollywood, FL 33020 |
| Lina Reyes | Psychiatry | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33020-1002 |
| Svetlana Schwartz | Nurse Practitioner | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33020-1002 |
| Edgar I Matamoros | Nurse Practitioner | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33020-1002 |
| Rolando Q Santos | Nurse Practitioner | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33020-1002 |
| Iris Vivas | Psychiatry | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33020-1002 |
| Joey-ann Jackson | Nurse Practitioner | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33020-1002 |
| Tamara R Cohen | Psychologist, Clinical | 2750 N 29th Ave, Suite 208, Hollywood, FL 33020-1518 | |
| Michelle Cotayo-linares | Nurse Practitioner | Blue Water Pain Solutions, Pa | 2 Oakwood Blvd, Suite 195, Hollywood, FL 33020-1962 |
| Find all physicians in zip 33020 | |||
| City | HOLLYWOOD |
| Zip Code | 33020 |
| Specialty | OPTOMETRY |
| City + Specialty | HOLLYWOOD + OPTOMETRY |
Please comment or provide details below to improve the information on Nickelle A Kellough.
| 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.