Brian J Petracca (NPI# 1457502221, PAC ID# 4183778319) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1457502221 |
| PAC ID by PECOS | 4183778319 |
| Professional Enrollment ID | I20141210000408 |
| Full Name | Brian J Petracca |
| Organization Legal Name | SOUTHWESTERN EYE CENTER, LTD |
| Address |
2030 S Solano Dr Las Cruces NM 88001-5402 |
| Phone Number | 5755211158 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2008 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1850296989 |
| Number of Group Practice Members | 83 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2030 S Solano Dr, Las Cruces, NM 88001-5402 | 5755211158 | SOUTHWESTERN EYE CENTER, LTD |
| Organization Legal Name | SOUTHWESTERN EYE CENTER, LTD |
| Physicians | 75 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher David Hess | Certified Registered Nurse Anesthetist (crna) | Southwestern Eye Center, Ltd | 5251 W Campbell, Suite 102, Phoenix, AZ 85031-1718 |
| Michael B Horsley | Ophthalmology | Southwestern Eye Center, Ltd | 10615 W Thunderbird Bldg, A100, Sun City, AZ 85351-3018 |
| Daryl Thomas Harriman | Certified Registered Nurse Anesthetist (crna) | Southwestern Eye Center, Ltd | 1919 Florence Ave, Kingman, AZ 86401-4684 |
| Timothy Sinek | Optometry | Southwestern Eye Center, Ltd | 1055 S Stapley Dr, Mesa, AZ 85204-5013 |
| Robert L Villalobos Jr. | Ophthalmology | Southwestern Eye Center, Ltd | 2030 S Solano Dr, Las Cruces, NM 88001-5402 |
| Matthew D Palmer | Optometry | Southwestern Eye Center, Ltd | 3301 N Miller Rd, Suite 140, Scottsdale, AZ 85251-6990 |
| Jeffrey A Jackson | Optometry | Southwestern Eye Center, Ltd | 560 N Camino Mercado, Suite 1, Casa Grande, AZ 85122-5759 |
| James T Hooper | Optometry | Southwestern Eye Center, Ltd | 75 Colonia De Salud, 100a, Sierra Vista, AZ 85635-2485 |
| Stephen Stahl | Optometry | Southwestern Eye Center, Ltd | 1600 Willow Creek Rd, Prescott, AZ 86301-1108 |
| Guy T Mcdougal | Optometry | Southwestern Eye Center, Ltd | 110 S Idaho Rd, Apache Junction, AZ 85119-2379 |
| Street Address |
2030 S SOLANO DR |
| City | LAS CRUCES |
| State | NM |
| Zip | 88001-5402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert L Villalobos Jr. | Ophthalmology | Southwestern Eye Center, Ltd | 2030 S Solano Dr, Las Cruces, NM 88001-5402 |
| Aaron George Amacher Iii | Ophthalmology | Southwestern Eye Center, Ltd | 2030 S Solano Dr, Las Cruces, NM 88001-5402 |
| Jennifer M Murray | Optometry | Southwestern Eye Center, Ltd | 2030 S Solano Dr, Las Cruces, NM 88001-5402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Michelle Livingston | Nurse Practitioner | Las Cruces Physician Practices, LLC | 2100 S Triviz Dr F, Las Cruces, NM 88001-0601 |
| Gina M Fullbright | Nurse Practitioner | Las Cruces Physician Practices, LLC | 2100 S Triviz Dr H, Womens Medical Associates, Las Cruces, NM 88001-0601 |
| Paul C Magarelli | Endocrinology | Las Cruces Physician Practices, LLC | 2100 S Triviz Dr, Suite H Womens Medical Associates, Las Cruces, NM 88001-0601 |
| Frank T Felts | General Surgery | Las Cruces Physician Practices, LLC | 2100 S Triviz Dr F, Las Cruces, NM 88001-0601 |
| Angelina Np Morales | Nurse Practitioner | Las Cruces Physician Practices, LLC | 2100 S Triviz Dr F, Las Cruces, NM 88001-0601 |
| Justin Boland | Psychologist, Clinical | Las Cruces Physician Practices, LLC | 2100 S Triviz Dr F, Las Cruces, NM 88001-0601 |
| Rodger V Lewis | Optometry | 709 N Main St, Las Cruces, NM 88001-1119 | |
| Edward Wade Richardson | Chiropractic | 2151 N Main St, Las Cruces, NM 88001-1128 | |
| Antoinette Green | Nurse Practitioner | Las Cruces Physician Practices, LLC | 2611 N Main St, Las Cruces, NM 88001-1139 |
| Mai Oushy | Family Medicine | Las Cruces Physician Practices, LLC | 2611 N Main St, Las Cruces, NM 88001-1139 |
| Find all physicians in zip 88001 | |||
| City | LAS CRUCES |
| Zip Code | 88001 |
| Specialty | OPTOMETRY |
| City + Specialty | LAS CRUCES + 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.