Molly M Guithues (NPI# 1023480316, PAC ID# 3274843974) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1023480316 |
| PAC ID by PECOS | 3274843974 |
| Professional Enrollment ID | I20151110000140 |
| Full Name | Molly M Guithues |
| Organization Legal Name | JAK ENTERPRISES INC |
| Address |
331 W 1st Dr Decatur IL 62521-5207 |
| Phone Number | 2174223881 |
| Gender | F |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3173519014 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 331 W 1st Dr, Decatur, IL 62521-5207 | 2174223881 | JAK ENTERPRISES INC |
| 3055 Wabash Ave, Springfield, IL 62704-6414 | 2177932273 | JAK ENTERPRISES INC |
| Organization Legal Name | JAK ENTERPRISES INC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharna Annise Wiltz | Optometry | Jak Enterprises Inc | 3287 Court St, Pekin, IL 61554-6208 |
| Nicole M Jensen | Optometry | Jak Enterprises Inc | 1200 W Main St, Suite 21, Peoria, IL 61606-1218 |
| Rhonda Dameron | Optometry | Jak Enterprises Inc | 8309 N Knoxville Ave, Suite 1, Peoria, IL 61615-2171 |
| Steven H Lane | Optometry | Jak Enterprises Inc | 1351 Hickory Point Dr, B, Forsyth, IL 62535-1085 |
| Jeffrey S Heden | Optometry | Jak Enterprises Inc | 4032 46th Ave, Rock Island, IL 61201-7164 |
| Brian D Henson | Optometry | Jak Enterprises Inc | 1712 W Reynold Rd, Pontiac, IL 61764-9695 |
| John J Rimkus | Optometry | Jak Enterprises Inc | 3215 E Lincolnway, Sterling, IL 61081-1772 |
| Stacy A Twenhafel | Optometry | Jak Enterprises Inc | 907 W Marketview Dr, Champaign, IL 61822-1227 |
| David R Morgret | Optometry | Jak Enterprises Inc | 1265 N Henderson St, Galesburg, IL 61401-1510 |
| Joseph B Jackson | Optometry | Jak Enterprises Inc | 3323 Frontage Rd, Peru, IL 61354-1101 |
| Street Address |
331 W 1ST DR |
| City | DECATUR |
| State | IL |
| Zip | 62521-5207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah S Jones | Optometry | Jak Enterprises Inc | 331 W 1st Dr, Decatur, IL 62521-5207 |
| Yolanda Arce Montijo | Optometry | Jak Enterprises Inc | 331 W 1st Dr, Decatur, IL 62521-5207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia L Miller | Nurse Practitioner | Decatur Memorial Hospital | 4455 Us Route 36 E, Decatur, IL 62521 |
| Dana M Ray | Family Medicine | Community Health Improvement Center | 1221 E Condit St, Decatur, IL 62521-1405 |
| Charles Bedford Jr. | Optometry | 1270 S Jasper St, Decatur, IL 62521-3531 | |
| Michael J Karasis | Urology | Siu Physicians and Surgeons Inc | 1750 E Lake Shore Dr, Suite 120, Decatur, IL 62521-3803 |
| Nicholas Nasry Tadros | Urology | Siu Physicians and Surgeons Inc | 1750 E Lake Shore Dr, Suite Ll2, Decatur, IL 62521-3803 |
| Bradley Fields Schwartz | Urology | Siu Physicians and Surgeons Inc | 1750 E Lake Shore Dr, Suite 120, Decatur, IL 62521-3803 |
| Naeemuddin Jatoi | Internal Medicine | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Suite 100, Decatur, IL 62521-3803 |
| Carrie Ann West | Nurse Practitioner | Siu Physicians and Surgeons Inc | 1750 E Lake Shore Dr, Suite 120, Decatur, IL 62521-3803 |
| Bavikatte Shivakumar | Gastroenterology | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Decatur, IL 62521-3803 |
| Virginia Ann Kerwin | Registered Dietitian Or Nutrition Professional | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Suite 300, Decatur, IL 62521-3806 |
| Find all physicians in zip 62521 | |||
| City | DECATUR |
| Zip Code | 62521 |
| Specialty | OPTOMETRY |
| City + Specialty | DECATUR + OPTOMETRY |
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| 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.