Eugene John Eldridge (NPI# 1932284296, PAC ID# 3577604156) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1932284296 |
| PAC ID by PECOS | 3577604156 |
| Professional Enrollment ID | I20100105000018 |
| Full Name | Eugene John Eldridge |
| Address |
1400 75th St Kenosha WI 53143-1544 |
| Gender | M |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1983 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1400 75th St, Kenosha, WI 53143-1544 |
| Street Address |
1400 75TH ST |
| City | KENOSHA |
| State | WI |
| Zip | 53143-1544 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Bower | Optometry | Robert B. Bower, O.d., S.c. | 2301 75th St, Kenosha, WI 53143-1403 |
| Daniel Dashner | Clinical Social Worker | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Jennifer L Evancy | Clinical Social Worker | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Kemba M Banyard | Nurse Practitioner | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Tierney Voit | Clinical Social Worker | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Jonathan T Grapengieser | Psychologist, Clinical | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Leah J Featherstone | Psychologist, Clinical | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Renee M Andreoli | Nurse Practitioner | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Amy Macdonald Wojcik | Clinical Social Worker | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Dionna Lashaun Mcferrin | Nurse Practitioner | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Find all physicians in zip 53143 | |||
| City | KENOSHA |
| Zip Code | 53143 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | KENOSHA + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Eugene John Eldridge.
| 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.