Jacqueline G Ladd (NPI# 1053751537, PAC ID# 3476795402) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1053751537 |
| PAC ID by PECOS | 3476795402 |
| Professional Enrollment ID | I20130805000095 |
| Full Name | Jacqueline G Ladd |
| Organization Legal Name | IVERSON-TOMASINO EYECARE INC |
| Address |
1140 Tom Ginnever Ave O Fallon MO 63366-4530 |
| Phone Number | 6362721444 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 2013 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0446327639 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1140 Tom Ginnever Ave, O Fallon, MO 63366-4530 | 6362721444 | IVERSON-TOMASINO EYECARE INC |
| Organization Legal Name | IVERSON-TOMASINO EYECARE INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Anthony Tomasino | Optometry | Iverson-tomasino Eyecare Inc | 1140 Tom Ginnever Ave, O Fallon, MO 63366-4530 |
| Robert George Goerss | Optometry | Iverson-tomasino Eyecare Inc | 1140 Tom Ginnever Ave, O Fallon, MO 63366-4530 |
| Street Address |
1140 TOM GINNEVER AVE |
| City | O FALLON |
| State | MO |
| Zip | 63366-4530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Anthony Tomasino | Optometry | Iverson-tomasino Eyecare Inc | 1140 Tom Ginnever Ave, O Fallon, MO 63366-4530 |
| Robert George Goerss | Optometry | Iverson-tomasino Eyecare Inc | 1140 Tom Ginnever Ave, O Fallon, MO 63366-4530 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara A Carter | Clinical Social Worker | 103 Lincoln St, O Fallon, MO 63366-1603 | |
| Mackenzie L Lester | Clinical Social Worker | 103 Lincoln St, O Fallon, MO 63366-1603 | |
| Lara Burnett | Nurse Practitioner | Ssm Medical Group Inc | 920 N Main St, O Fallon, MO 63366-1746 |
| Philip G Holtgrave | Nurse Practitioner | Ssm Medical Group Inc | 920 N Main St, O Fallon, MO 63366-1746 |
| Karen R Schroeder | Nurse Practitioner | Ssm Medical Group Inc | 920 N Main St, O Fallon, MO 63366-1746 |
| Kevin L Threlkeld | Internal Medicine | 204 N Main St, O Fallon, MO 63366-2203 | |
| Matthew W Meier | Internal Medicine | 1002 Peruque Crossing Ct, Suite 102, O Fallon, MO 63366-2362 | |
| Kevin David Weikart | Internal Medicine | 1002 Peruque Crossing Court, Suite 101, Ofallon, MO 63366-2362 | |
| Ananda Desilva | Internal Medicine | Hinton Healthcare Group | 1002 Peruque Crossing Ct, Suite 101, O Fallon, MO 63366-2362 |
| Jessica May Henman | Certified Nurse Midwife | Birth and Wellness Center LLC | 769 W Terra Lane, Ofallon, MO 63366-2432 |
| Find all physicians in zip 63366 | |||
| City | O FALLON |
| Zip Code | 63366 |
| Specialty | OPTOMETRY |
| City + Specialty | O FALLON + OPTOMETRY |
Please comment or provide details below to improve the information on Jacqueline G Ladd.
| 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.