Richard S Carlson (NPI# 1073515938, PAC ID# 2769566322) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1073515938 |
| PAC ID by PECOS | 2769566322 |
| Professional Enrollment ID | I20080221000281 |
| Full Name | Richard S Carlson |
| Organization Legal Name | NORTHWEST INDIANA EYE AND LASER CENTER PC |
| Address |
502 Marquette St Valparaiso IN 46383-2509 |
| Phone Number | 2194648223 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 2002 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5193701340 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 502 Marquette St, Valparaiso, IN 46383-2509 | 2194648223 | NORTHWEST INDIANA EYE AND LASER CENTER PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | NORTHWEST INDIANA EYE AND LASER CENTER PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen R Buck | Optometry | Northwest Indiana Eye and Laser Center PC | 502 Marquette St, Valparaiso, IN 46383-2509 |
| Scott Allen Buck | Ophthalmology | Northwest Indiana Eye and Laser Center PC | 502 Marquette St, Valparaiso, IN 46383-2509 |
| Street Address |
502 MARQUETTE ST |
| City | VALPARAISO |
| State | IN |
| Zip | 46383-2509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen R Buck | Optometry | Northwest Indiana Eye and Laser Center PC | 502 Marquette St, Valparaiso, IN 46383-2509 |
| Scott Allen Buck | Ophthalmology | Northwest Indiana Eye and Laser Center PC | 502 Marquette St, Valparaiso, IN 46383-2509 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dale Beauvais | Chiropractic | 2600 Roosevelt Rd, Valparaiso, IN 46383-0970 | |
| Sarah Anne Tsagris | Optometry | Northwest Indiana Eye Associates PC | 2101 Burlington Beach Rd, Valparaiso, IN 46383-1665 |
| Richard W Ireland | Optometry | Northwest Indiana Eye Associates PC | 2101 Burlington Beach Rd, Valparaiso, IN 46383-1665 |
| Caterina A Komyatte | Optometry | Northwest Indiana Eye Associates PC | 2101 Burlington Beach Rd, Valparaiso, IN 46383-1665 |
| Madonna L Grabos | Physical Therapy | Orthopedic Therapy Specialists, PC | 3125 Calumet Ave, Suite 8, Valparaiso, IN 46383-2070 |
| Bryan Onuselogu | Physical Therapy | Orthopedic Therapy Specialists, PC | 3125 Calumet Ave, Suite 8, Valparaiso, IN 46383-2070 |
| Hector Marchand Jr. | Internal Medicine | Porter Physician Services LLC | 1231 Cumberland Xing, Valparaiso, IN 46383-2192 |
| Helda Barakat | Internal Medicine | Porter Physician Services LLC | 1231 Cumberland Xing, Valparaiso, IN 46383-2192 |
| Amy L Petkus | Optometry | Myeyedr Optometry of Indiana LLC | 3540 Calumet Ave, Valparaiso, IN 46383-2246 |
| Anand P Popli | Psychiatry | 1904 Chandana Trl, Valparaiso, IN 46383-2290 | |
| Find all physicians in zip 46383 | |||
| City | VALPARAISO |
| Zip Code | 46383 |
| Specialty | OPTOMETRY |
| City + Specialty | VALPARAISO + OPTOMETRY |
Please comment or provide details below to improve the information on Richard S Carlson.
| 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.