Bradley Alexander Hiatt (NPI# 1083106991, PAC ID# 3577891464) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1083106991 |
| PAC ID by PECOS | 3577891464 |
| Professional Enrollment ID | I20190830001451 |
| Full Name | Bradley Alexander Hiatt |
| Organization Legal Name | MYEYEDR OPTOMETRY OF INDIANA LLC |
| Address |
2705 N Lebanon St Suite 230 Lebanon IN 46052-8627 |
| Phone Number | 7654822066 |
| Gender | M |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 2018 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5496091316 |
| Number of Group Practice Members | 65 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2705 N Lebanon St, Suite 230, Lebanon, IN 46052-8627 | 7654822066 | MYEYEDR OPTOMETRY OF INDIANA LLC |
| Organization Legal Name | MYEYEDR OPTOMETRY OF INDIANA LLC |
| Physicians | 61 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Mangiaracina | Optometry | Myeyedr Optometry of Indiana LLC | 279 W 80th Pl, Merrillville, IN 46410-5491 |
| Miklos Balogh | Optometry | Myeyedr Optometry of Indiana LLC | 1525 Us Hwy 41, Schererville, IN 46375-1353 |
| Nathaniel Clark | Optometry | Myeyedr Optometry of Indiana LLC | 105 S Raceway Rd, Suite 100, Indianapolis, IN 46231-1415 |
| Melissa Alane Lewis | Optometry | Myeyedr Optometry of Indiana LLC | 100 S Creasy Ln, Suite 1530, Lafayette, IN 47905-0757 |
| Paula J Gring | Optometry | Myeyedr Optometry of Indiana LLC | 422 Perry St, La Porte, IN 46350-3200 |
| Amy Elizabeth Iddins | Optometry | Myeyedr Optometry of Indiana LLC | 14555 Hazel Dell Pkwy, Suite 120, Carmel, IN 46033-7234 |
| Hannah Cater | Optometry | Myeyedr Optometry of Indiana LLC | 7840 E 96th St, Fishers, IN 46037-9629 |
| Matthew R Gifford | Optometry | Myeyedr Optometry of Indiana LLC | 5111 N Main St, Suite 200, Mishawaka, IN 46545-9039 |
| Trevor Scott Keck | Optometry | Myeyedr Optometry of Indiana LLC | 357 W Morgan St C, Spencer, IN 47460-1255 |
| Amy L Petkus | Optometry | Myeyedr Optometry of Indiana LLC | 3540 Calumet Ave, Valparaiso, IN 46383-2246 |
| Street Address |
2705 N LEBANON ST SUITE 230 |
| City | LEBANON |
| State | IN |
| Zip | 46052-8627 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emma J Nordstrom | Family Medicine | Witham Memorial Hospital | 2705 N Lebanon St, Lebanon, IN 46052-8622 |
| Raymond Albert Hopper Jr. | Optometry | Myeyedr Optometry of Indiana LLC | 2705 N Lebanon St, Suite 230, Lebanon, IN 46052-8627 |
| William N Arnold | Psychiatry | Witham Memorial Hospital | 2705 N Lebanon St, Suite 305, Lebanon, IN 46052-8622 |
| James Anthony Boudreau | Family Medicine | Witham Memorial Hospital | 2705 N Lebanon St, Lebanon, IN 46052-8622 |
| Justin David Wright | Family Medicine | Witham Memorial Hospital | 2705 N Lebanon St, Lebanon, IN 46052-8622 |
| Mona Singh | Internal Medicine | Witham Memorial Hospital | 2705 N Lebanon St, Lebanon, IN 46052-8622 |
| John Willem Stuy | Internal Medicine | Witham Memorial Hospital | 2705 N Lebanon St, Lebanon, IN 46052-8622 |
| Tricia Lynn Wright | Family Medicine | Witham Memorial Hospital | 2705 N Lebanon St, Suite 300, Lebanon, IN 46052-8622 |
| Leslie M Phillips | Nurse Practitioner | Witham Memorial Hospital | 2705 N Lebanon St, Suite 300, Lebanon, IN 46052-8622 |
| Ladema J Gallagher | Certified Clinical Nurse Specialist (cns) | Witham Memorial Hospital | 2705 N Lebanon St, Lebanon, IN 46052-8622 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney N Bumbalough | Nurse Practitioner | Proactive Clinical Partners | 2494 N Lebanon St, Homewood of Lebanon, Lebanon, IN 46052-1111 |
| Rita A Mankus | Nephrology | Franciscan Physician Network | 2485 N Lebanon St, Lebanon, IN 46052-1186 |
| Herschell Servies Jr. | Family Medicine | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Brandon J Horn | Orthopedic Surgery | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Leann M Toliver | Nurse Practitioner | Lafayette Emergency Physicians Inc | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Laura M Lambert | Anesthesiology | Anesthesiology of Indianapolis, PC | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Hak Nam Kim | Gastroenterology | University Medical Diagnostic Associates Inc | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Nicholas R Osborne | Nurse Practitioner | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Charles L Elliott | Otolaryngology | Witham Memorial Hospital | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Jonathan S Fried | Emergency Medicine | Lafayette Emergency Physicians Inc | 2605 N Lebanon St, Lebanon, IN 46052-1476 |
| Find all physicians in zip 46052 | |||
| City | LEBANON |
| Zip Code | 46052 |
| Specialty | OPTOMETRY |
| City + Specialty | LEBANON + 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.