Martin Russell O Malley (NPI# 1750545455, PAC ID# 2769538990) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1750545455 |
| PAC ID by PECOS | 2769538990 |
| Professional Enrollment ID | I20140922001673 |
| Full Name | Martin Russell O Malley |
| Organization Legal Name | EYE SURGEONS ASSOCIATES PC |
| Address |
4731 45th St Ct Rock Island IL 61201-7102 |
| Phone Number | 3097932020 |
| Gender | M |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 2005 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 4183521206 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140280 | TRINITY - ROCK ISLAND |
| Address | Phone | Organization |
|---|---|---|
| 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 | 5633232020 | EYE SURGEONS ASSOCIATES PC |
| 4731 45th St Ct, Rock Island, IL 61201-7102 | 3097932020 | EYE SURGEONS ASSOCIATES PC |
| Organization Legal Name | EYE SURGEONS ASSOCIATES PC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yasser M Elshatory | Ophthalmology | Eye Surgeons Associates PC | 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 |
| Nikhil Sudhakar Wagle | Ophthalmology | Eye Surgeons Associates PC | 4731 45th St Ct, Rock Island, IL 61201-7102 |
| John Charles Frederick | Ophthalmology | Eye Surgeons Associates PC | 4731 45th St Ct, Rock Island, IL 61201-7102 |
| William Joseph Benevento | Ophthalmology | Eye Surgeons Associates PC | 4731 45th St Ct, Rock Island, IL 61201-7102 |
| Beth Renea Repp | Ophthalmology | Eye Surgeons Associates PC | 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 |
| Scott Baldwin | Optometry | Eye Surgeons Associates PC | 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 |
| Jonathan Ryan Isgrig | Optometry | Eye Surgeons Associates PC | 4731 45th St Ct, Rock Island, IL 61201-7102 |
| Carlton Robert Fenzl | Ophthalmology | Eye Surgeons Associates PC | 4731 45th St Ct, Rock Island, IL 61201-7102 |
| Sarah R Burgett | Optometry | Eye Surgeons Associates PC | 4731 45th St Ct, Rock Island, IL 61201-7102 |
| James G Wymore | Ophthalmology | Eye Surgeons Associates PC | 4731 45th St Ct, Rock Island, IL 61201-7102 |
| Street Address |
4731 45TH ST CT |
| City | ROCK ISLAND |
| State | IL |
| Zip | 61201-7102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nikhil Sudhakar Wagle | Ophthalmology | Eye Surgeons Associates PC | 4731 45th St Ct, Rock Island, IL 61201-7102 |
| John Charles Frederick | Ophthalmology | Eye Surgeons Associates PC | 4731 45th St Ct, Rock Island, IL 61201-7102 |
| William Joseph Benevento | Ophthalmology | Eye Surgeons Associates PC | 4731 45th St Ct, Rock Island, IL 61201-7102 |
| Jonathan Ryan Isgrig | Optometry | Eye Surgeons Associates PC | 4731 45th St Ct, Rock Island, IL 61201-7102 |
| Carlton Robert Fenzl | Ophthalmology | Eye Surgeons Associates PC | 4731 45th St Ct, Rock Island, IL 61201-7102 |
| Sarah R Burgett | Optometry | Eye Surgeons Associates PC | 4731 45th St Ct, Rock Island, IL 61201-7102 |
| James G Wymore | Ophthalmology | Eye Surgeons Associates PC | 4731 45th St Ct, Rock Island, IL 61201-7102 |
| Michael Douglas Boehm | Ophthalmology | Eye Surgeons Associates PC | 4731 45th St Ct, Rock Island, IL 61201-7102 |
| Peter Donald Fries | Ophthalmology | Eye Surgeons Associates PC | 4731 45th St Ct, Rock Island, IL 61201-7102 |
| Tina J Eckhardt | Ophthalmology | Eye Surgeons Associates PC | 4731 45th St Ct, Rock Island, IL 61201-7102 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann Perreau | Qualified Audiologist | Center for Speech Language and Hearing, 851 34th Street, Rock Island, IL 61201 | |
| Michael K Sharp | Audiologist | Center for Speech Language and Hearing, 851 34th Street, Rock Island, IL 61201 | |
| Timothy A Brien | Chiropractic | 4510 7th Ave, Rock Island, IL 61201-2260 | |
| Ann M Mcnelis | Clinical Social Worker | Transitions Nfp | 805 19th St, Rock Island, IL 61201-2514 |
| Frances B Ricketts | Clinical Psychologist | 2208 7th Ave, Rock Island, IL 61201-2604 | |
| Eric E Lundgren | Chiropractic | Lundgren Chiropractic, Ltd | 2965 13th Ave, Rock Island, IL 61201-2814 |
| James Thomas Stegmaier | Chiropractic | Lundgren Chiropractic, Ltd | 2965 13th Ave, Rock Island, IL 61201-2814 |
| Rodney K Simmer | Chiropractic | 3012 18th Ave, Rock Island, IL 61201-2939 | |
| Bruce E Jones Iii | Emergency Medicine | 3635 14th Ave, Rock Island, IL 61201-3069 | |
| Jack Vukov | Ophthalmology | 2100 18th Ave, Suite 4, Rock Island, IL 61201-3611 | |
| Find all physicians in zip 61201 | |||
| City | ROCK ISLAND |
| Zip Code | 61201 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | ROCK ISLAND + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Martin Russell O Malley.
| 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.