Douglas W Ellenberger (NPI# 1841588555, PAC ID# 3072784131) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1841588555 |
| PAC ID by PECOS | 3072784131 |
| Professional Enrollment ID | I20110921000218 |
| Full Name | Douglas W Ellenberger |
| Organization Legal Name | EYEGUYS ODS LLC |
| Address |
1330 Interstate Pkwy Augusta GA 30909-5625 |
| Phone Number | 7066512020 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2011 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0244532513 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1330 Interstate Pkwy, Augusta, GA 30909-5625 | 7066512020 | EYEGUYS ODS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | EYEGUYS ODS LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Anne Martin | Optometry | Eyeguys Ods LLC | 1330 Interstate Pkwy, Augusta, GA 30909-5625 |
| Robert R Morgan | Optometry | Eyeguys Ods LLC | 1330 Interstate Pkwy, Augusta, GA 30909-5625 |
| Street Address |
1330 INTERSTATE PKWY |
| City | AUGUSTA |
| State | GA |
| Zip | 30909-5625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Smith | Ophthalmology | Eye Physicians and Surgeons of Augusta, PC | 1330 Interstate Pkwy, Augusta, GA 30909-5625 |
| Herbert Fechter | Ophthalmology | Eye Physicians and Surgeons of Augusta, PC | 1330 Interstate Pkwy, Augusta, GA 30909-5625 |
| Beau Gardner | Ophthalmology | Eye Physicians and Surgeons of Augusta, PC | 1330 Interstate Pkwy, Augusta, GA 30909-5625 |
| Bradley Alan Bertram | Ophthalmology | Eye Physicians and Surgeons of Augusta, PC | 1330 Interstate Pkwy, Augusta, GA 30909-5625 |
| Elizabeth Anne Martin | Optometry | Eyeguys Ods LLC | 1330 Interstate Pkwy, Augusta, GA 30909-5625 |
| James Conner Lockwood | Ophthalmology | Eye Physicians and Surgeons of Augusta, PC | 1330 Interstate Pkwy, Augusta, GA 30909-5625 |
| Robert R Morgan | Optometry | Eyeguys Ods LLC | 1330 Interstate Pkwy, Augusta, GA 30909-5625 |
| Bruce A Brown | Ophthalmology | Eye Physicians and Surgeons of Augusta, PC | 1330 Interstate Pkwy, Augusta, GA 30909-5625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan E Reimer | Family Medicine | 1224 Augusta W Pkwy, Augusta, GA 30909 | |
| Kent M Plowman | Interventional Pain Management | Stephens Clinic, LLC | 1109 Medical Ctr Dr, Suite 8a, Augusta, GA 30909 |
| Edgar R Bohannon | Qualified Audiologist | Augusta Hearing and Balance | 1215 A George Wilson, Suite 3, Augusta, GA 30909 |
| Tarak V Patel | Infectious Disease | 1224 Augusta W Pkwy, Augusta, GA 30909 | |
| Russell L Stephens | Anesthesiology | Stephens Clinic, LLC | 1109 Medical Ctr Dr, Suite 8a, Augusta, GA 30909 |
| Amanda S Battey | Qualified Audiologist | Augusta Hearing and Balance | 1215 A George Wilson, Suite 3, Augusta, GA 30909 |
| Rebecca B Hopkins | Audiologist | Augusta Hearing and Balance | 1215 A George Wilson, Augusta, GA 30909 |
| Dale Patrick | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| George Herman Hamiter Iii | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| Miguel Angel Bosch | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| Find all physicians in zip 30909 | |||
| City | AUGUSTA |
| Zip Code | 30909 |
| Specialty | OPTOMETRY |
| City + Specialty | AUGUSTA + OPTOMETRY |
Please comment or provide details below to improve the information on Douglas W Ellenberger.
| 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.