Eric Paul Pedersen (NPI# 1992793806, PAC ID# 3274426630) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1992793806 |
| PAC ID by PECOS | 3274426630 |
| Professional Enrollment ID | I20040209000024 |
| Full Name | Eric Paul Pedersen |
| Organization Legal Name | MYEYEDR OPTOMETRY OF WISCONSIN LLC |
| Address |
120 Martin Dr Fredonia WI 53021-9455 |
| Phone Number | 2626929000 |
| Gender | M |
| Credential | OD |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 1996 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5890033716 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 120 Martin Dr, Fredonia, WI 53021-9455 | 2626929000 | MYEYEDR OPTOMETRY OF WISCONSIN LLC |
| 2305 30th Ave, Kenosha, WI 53144-1411 | 2625972020 | MYEYEDR OPTOMETRY OF WISCONSIN LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | MYEYEDR OPTOMETRY OF WISCONSIN LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hussam A Saras | Optometry | Myeyedr Optometry of Wisconsin LLC | 8693 N Port Washington Rd, Fox Point, WI 53217-2209 |
| Kristen E Ziegler | Ophthalmology | Myeyedr Optometry of Wisconsin LLC | 14151 W National Ave, New Berlin, WI 53151-4528 |
| Maria M Steck | Optometry | Myeyedr Optometry of Wisconsin LLC | 10800 N Port Washington Rd, Mequon, WI 53092-5007 |
| Cynthia Malvitz Overly | Optometry | Myeyedr Optometry of Wisconsin LLC | 2305 30th Ave, Kenosha, WI 53144-1411 |
| Katlyn Marie Potts | Optometry | Myeyedr Optometry of Wisconsin LLC | 10800 N Port Washington Rd, Mequon, WI 53092-5007 |
| Jeffrey R Thomas | Optometry | Myeyedr Optometry of Wisconsin LLC | 2305 30th Ave, Kenosha, WI 53144-1411 |
| Randall J Paye | Optometry | Myeyedr Optometry of Wisconsin LLC | 2305 30th Ave, Kenosha, WI 53144-1411 |
| H Chapman Leffingwell | Optometry | Myeyedr Optometry of Wisconsin LLC | 14151 W National Ave, New Berlin, WI 53151-4528 |
| Dave A Ziegler | Optometry | Myeyedr Optometry of Wisconsin LLC | 2305 30th Ave, Kenosha, WI 53144-1411 |
| Donna M Brunello | Optometry | Myeyedr Optometry of Wisconsin LLC | 2305 30th Ave, Kenosha, WI 53144-1411 |
| Street Address |
120 MARTIN DR |
| City | FREDONIA |
| State | WI |
| Zip | 53021-9455 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Todd Rosa | Optometry | Se Professionals, S.c. | 120 Martin Dr, Fredonia, WI 53021-9455 |
| Douglas M Orlich | Optometry | Se Professionals, S.c. | 120 Martin Dr, Fredonia, WI 53021-9455 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Lawrence Brouillette | Chiropractic | 511 Fredonia Ave, Fredonia, WI 53021-9406 | |
| Rebecca L St Louis | Podiatry | Preferred Podiatry Group PC | 400 Martin Dr, Fredonia, WI 53021-9421 |
| City | FREDONIA |
| Zip Code | 53021 |
| Specialty | OPTOMETRY |
| City + Specialty | FREDONIA + OPTOMETRY |
Please comment or provide details below to improve the information on Eric Paul Pedersen.
| 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.