Eric K Botts (NPI# 1457301368, PAC ID# 3870513062) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1457301368 |
| PAC ID by PECOS | 3870513062 |
| Professional Enrollment ID | I20051202000317 |
| Full Name | Eric K Botts |
| Organization Legal Name | DR ERIC BOTTS AND ASSOCIATES LLC |
| Address |
659 Knox Square Dr Galesburg IL 61401-8605 |
| Phone Number | 3093436870 |
| Gender | M |
| Credential | OD |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1992 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5991858011 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 659 Knox Square Dr, Galesburg, IL 61401-8605 | 3093436870 | DR ERIC BOTTS AND ASSOCIATES LLC |
| 1730 E Jackson St, Macomb, IL 61455-2531 | 3098363373 | DR ERIC BOTTS AND ASSOCIATES LLC |
| 324 W Agency Rd, West Burlington, IA 52655-1674 | 3197533115 | DR ERIC BOTTS AND ASSOCIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% |
| Organization Legal Name | DR ERIC BOTTS AND ASSOCIATES LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi Marie Larner | Optometry | Dr Eric Botts and Associates LLC | 5211 Broadway St, Quincy, IL 62305-9122 |
| Eric D Obrien | Optometry | Dr Eric Botts and Associates LLC | 324 W Agency Rd, West Burlington, IA 52655-1674 |
| Pamela J Eilenfeldt | Optometry | Dr Eric Botts and Associates LLC | 659 Knox Square Dr, Galesburg, IL 61401-8605 |
| Street Address |
659 KNOX SQUARE DR |
| City | GALESBURG |
| State | IL |
| Zip | 61401-8605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela J Eilenfeldt | Optometry | Dr Eric Botts and Associates LLC | 659 Knox Square Dr, Galesburg, IL 61401-8605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise M Johnson Dechow | Psychiatry | Knox Clinic Corp | 834 N Seminary St, Galesburg, IL 61401-0500 |
| Yekaterina Fayn | Internal Medicine | Knox Clinic Corp | 834 N Seminary St, Suite 404, Galesburg, IL 61401-0500 |
| Tyson R Kinnick | Physician Assistant | Knox Clinic Corp | 834 N Seminary St, Galesburg, IL 61401-0500 |
| Harsha S Mehta | Family Practice | Knox Clinic Corp | 834 N Seminary St, Suite 404, Galesburg, IL 61401-0500 |
| Shrikant A Mehta | Family Practice | Knox Clinic Corp | 834 N Seminary St, Galesburg, IL 61401-0500 |
| Mark E Davis | General Surgery | Knox Clinic Corp | 834 N Seminary, Suite 501, Galesburg, IL 61401-0501 |
| Kimberly A Cheek | Nurse Practitioner | Knox Clinic Corp | 834 N Seminary St, Suite 502, Galesburg, IL 61401-0501 |
| Amy Mefford | Certified Nurse Midwife | Knox Clinic Corp | 834 N Seminary, Suite 501, Galesburg, IL 61401-0501 |
| Daniel K Piper | Obstetrics/gynecology | Knox Clinic Corp | 834 N Seminary St, Suite 502, Galesburg, IL 61401-0501 |
| Yufan Chen | Obstetrics/gynecology | Knox Clinic Corp | 834 N Seminary St, Galesburg, IL 61401-0501 |
| Find all physicians in zip 61401 | |||
| City | GALESBURG |
| Zip Code | 61401 |
| Specialty | OPTOMETRY |
| City + Specialty | GALESBURG + 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.