Edward P Andersen (NPI# 1609804921, PAC ID# 2769485283) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1609804921 |
PAC ID by PECOS | 2769485283 |
Professional Enrollment ID | I20060822000475 |
Full Name | Edward P Andersen |
Address |
101 E Grant Ave Winters CA 95694-1761 |
Phone Number | 5307952551 |
Gender | M |
Credential | OD |
Medical School | UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY |
Graduation Year | 1991 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
125 N Lincoln St, Suite A, Dixon, CA 95620-3259 | 7076783055 | DIXON EYECARE ASSOCIATES AN OPTOMETRIC CORPORATION |
101 E Grant Ave, Winters, CA 95694-1761 | 5307952551 |
Street Address |
101 E GRANT AVE |
City | WINTERS |
State | CA |
Zip | 95694-1761 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alfredo Ovalle | Family Practice | Winters Healthcare Foundation, Inc. | 23 Main St, Winters, CA 95694-1722 |
Andrea C Trader Mckenna | Pediatric Medicine | Winters Healthcare Foundation, Inc. | 172 E Grant Ave, Winters, CA 95694-1780 |
Jaime U Lopez | Physician Assistant | Winters Healthcare Foundation, Inc. | 172 E Grant Ave, Winters, CA 95694-1780 |
Shailender Singh | Internal Medicine | Sutter Valley Medical Foundation | 111 E Grant Ave, Winters, CA 95694-1842 |
Carla Lee Kakutani | Family Medicine | Sutter Valley Medical Foundation | 111 Main St, Suite B, Winters, CA 95694-1930 |
Betty Karen Patterson | Family Practice | Sutter Valley Medical Foundation | 111 Main St, Suite B, Winters, CA 95694-1930 |
William B Davis | Family Practice | 107 Main St, Winters, CA 95694-1930 |
City | WINTERS |
Zip Code | 95694 |
Specialty | OPTOMETRY |
City + Specialty | WINTERS + 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.