Timothy G Cundiff (NPI# 1912169962, PAC ID# 3870661572) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1912169962 |
| PAC ID by PECOS | 3870661572 |
| Professional Enrollment ID | I20081008000391 |
| Full Name | Timothy G Cundiff |
| Organization Legal Name | VISION CARE CENTER PC |
| Address |
1009 N Cummings Ln Washington IL 61571-9646 |
| Phone Number | 3094448811 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 2008 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0042282691 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4900 N Glen Park Place Rd, Suite C, Peoria, IL 61614-4685 | 3096914500 | VISION CARE CENTER PC |
| 1009 N Cummings Ln, Washington, IL 61571-9646 | 3094448811 | VISION CARE CENTER PC |
| Organization Legal Name | VISION CARE CENTER PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul O Velting | Optometry | Vision Care Center PC | 4900 N Glen Park Place Rd, Suite C, Peoria, IL 61614-4685 |
| Roger W Fitch | Optometry | Vision Care Center PC | 4900 N Glen Park Place Rd, Suite C, Peoria, IL 61614-4685 |
| Street Address |
1009 N CUMMINGS LN |
| City | WASHINGTON |
| State | IL |
| Zip | 61571-9646 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian D Frank | Chiropractic | 2362 Washington Rd, Washington, IL 61571-1855 | |
| T Dane Shelley | Optometry | Jak Enterprises Inc | 8 Cherry Tree Shopping Ctr, Washington, IL 61571-2170 |
| Glen Jay Sidler | Internal Medicine | 201 N Cummings Lane, Washington, IL 61571-2181 | |
| Dean L Anderson | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 201 N Cummings Ln, Washington, IL 61571-2181 |
| Lauren Johanna Cowherd | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 201 N Cummings Ln, Washington, IL 61571-2181 |
| Lee T. Kinsinger | Family Medicine | Iowa Physicians Clinic Medical Foundation | 201 N Cummings Ln, Washington, IL 61571-2181 |
| Stacey Herring | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 201 N Cummings Ln, Washington, IL 61571-2181 |
| Todd E Funk | Optometry | 100 Hillcrest Dr, Suite B, Washington, IL 61571-2227 | |
| Jennifer E Boehs | Clinical Social Worker | Balanced | 100 Hillcrest Dr, Suite E, Washington, IL 61571-2227 |
| Jennifer M Zeck | Clinical Social Worker | Balanced | 100 Hillcrest Dr, Suite E, Washington, IL 61571-2227 |
| Find all physicians in zip 61571 | |||
| City | WASHINGTON |
| Zip Code | 61571 |
| Specialty | OPTOMETRY |
| City + Specialty | WASHINGTON + 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.