Maria Lyn Shoop Davenport (NPI# 1417042276, PAC ID# 4082755665) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1417042276 |
| PAC ID by PECOS | 4082755665 |
| Professional Enrollment ID | I20100104000699 |
| Full Name | Maria Lyn Shoop Davenport |
| Address |
124 E Prairie St Vicksburg MI 49097-1257 |
| Gender | F |
| Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
| Graduation Year | 1992 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 800 E Chicago St, Coldwater, MI 49036-2055 | 5172782809 | MIDWEST OPTOMETRY GROUP, PLLC |
| 124 E Prairie St, Vicksburg, MI 49097-1257 |
| Street Address |
124 E PRAIRIE ST |
| City | VICKSBURG |
| State | MI |
| Zip | 49097-1257 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine I Brandau | Nurse Practitioner | Bronson Methodist Hospital | 13320 N Boulevard St, Vicksburg, MI 49097-1514 |
| Evan M Fitzgerald | Family Medicine | Bronson Methodist Hospital | 13320 N Boulevard St, Vicksburg, MI 49097-1514 |
| Suzanne L Hawkins | Family Practice | Bronson Methodist Hospital | 13320 N Boulevard St, Vicksburg, MI 49097-1514 |
| Kenneth J. Franklin | Family Practice | Family Doctors of Vicksburg, PC | 13320 N Boulevard St, Vicksburg, MI 49097-1514 |
| Dustin J Morton | Chiropractic | 12840 Sprinkle Rd, Suite 3, Vicksburg, MI 49097-8395 | |
| Stephen Mark Hoard | Chiropractic | 1778 E Vw Ave, Vicksburg, MI 49097-9410 | |
| Stephanie L Hoard | Chiropractic | 1778 E Vw Ave, Vicksburg, MI 49097-9410 |
| City | VICKSBURG |
| Zip Code | 49097 |
| Specialty | OPTOMETRY |
| City + Specialty | VICKSBURG + OPTOMETRY |
Please comment or provide details below to improve the information on Maria Lyn Shoop Davenport.
| 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.