Derek A Moline (NPI# 1588630925, PAC ID# 2769659721) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1588630925 |
| PAC ID by PECOS | 2769659721 |
| Professional Enrollment ID | I20120117000283 |
| Full Name | Derek A Moline |
| Organization Legal Name | JEFFREY W. WILLIAMS, O.D. AND ASSOCIATES, PA |
| Address |
1835 County Rd C W Suite 240 Roseville MN 55113-1364 |
| Phone Number | 6516381555 |
| Gender | M |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 2000 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6709781180 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3480 Bunker Lake Blvd Nw, Suite 101, Andover, MN 55304-3669 | 7637129854 | JEFFREY W. WILLIAMS, O.D. AND ASSOCIATES, PA |
| 1835 County Rd C W, Suite 240, Roseville, MN 55113-1364 | 6516381555 | JEFFREY W. WILLIAMS, O.D. AND ASSOCIATES, PA |
| Organization Legal Name | JEFFREY W. WILLIAMS, O.D. AND ASSOCIATES, PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Jordan | Optometry | Jeffrey W. Williams, O.d. and Associates, Pa | 3480 Bunker Lake Blvd Nw, Suite 101, Andover, MN 55304-3669 |
| Amanda Mae Schmitz | Optometry | Jeffrey W. Williams, O.d. and Associates, Pa | 23168 Saint Francis Blvd Nw, Suite 300, Saint Francis, MN 55070-4402 |
| Alicia Yantes | Optometry | Jeffrey W. Williams, O.d. and Associates, Pa | 3480 Bunker Lake Blvd Nw, Suite 101, Andover, MN 55304-3669 |
| Jeffrey W Williams | Optometry | Jeffrey W. Williams, O.d. and Associates, Pa | 3480 Bunker Lake Blvd Nw, Suite 101, Andover, MN 55304-3669 |
| Street Address |
1835 COUNTY RD C W SUITE 240 |
| City | ROSEVILLE |
| State | MN |
| Zip | 55113-1364 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Stanek | Physician Assistant | Tareen Dermatology Pa | 1835 County Rd C W, Suite 250, Roseville, MN 55113-1352 |
| Kristen M Finnegan | Physician Assistant | North Memorial Health Care | 1835 County Rd C W, Suite 150, Roseville, MN 55113-1343 |
| Margaret E F Spartz | Preventative Medicine | 1835 County Rd C W, Suite 80, Roseville, MN 55113-1343 | |
| Laura Bethany Johnson | Physician Assistant | North Memorial Health Care | 1835 County Rd C W, Suite 150, Roseville, MN 55113-1343 |
| Elizabeth A Griffin | Physician Assistant | North Memorial Health Care | 1835 County Rd C W, Suite 150, Roseville, MN 55113-1343 |
| Kari A Roden | Physician Assistant | North Memorial Health Care | 1835 County Rd C W, Suite 150, Roseville, MN 55113-1343 |
| Chloe Ann Ferrar | Physician Assistant | North Memorial Health Care | 1835 County Rd C W, Suite 150, Roseville, MN 55113-1343 |
| Ryan L Holzwarth | Dermatology | Tareen Dermatology Pa | 1835 County Rd C W, Suite 250, Roseville, MN 55113-1352 |
| Lorraine J Griffin | Dermatology | Tareen Dermatology Pa | 1835 County Rd C W, Suite 250, Roseville, MN 55113-1352 |
| Kathleen M Demanivel | Dermatology | Tareen Dermatology Pa | 1835 County Rd C W, Suite 250, Roseville, MN 55113-1352 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefano M Sinicropi | Orthopedic Surgery | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Matthew C Hawkins | Physician Assistant | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Eric S Salman | Physician Assistant | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Glenn R Buttermann | Orthopedic Surgery | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Daniel P Sipple | Physical Medicine and Rehabilitation | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Phillip Charles Stewart | Physician Assistant | Midwest Spine and Brain Institute LLC | 1835 W Country Rd C, Suite 150, Roseville, MN 55113 |
| Grady J Glynn | Physical Therapy | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Tonya M Wells | Physical Therapy | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Caroline A Mason | Family Medicine | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Rocklin A Shir | Emergency Medicine | Physicians Neck and Back Clinics | 3050 Centre Pointe Dr, Suite 200, Roseville, MN 55113-1179 |
| Find all physicians in zip 55113 | |||
| City | ROSEVILLE |
| Zip Code | 55113 |
| Specialty | OPTOMETRY |
| City + Specialty | ROSEVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on Derek A Moline.
| 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.