Brad A Weeks (NPI# 1073694873, PAC ID# 4183863533) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1073694873 |
| PAC ID by PECOS | 4183863533 |
| Professional Enrollment ID | I20130617000347 |
| Full Name | Brad A Weeks |
| Organization Legal Name | BASS LAKE FAMILY EYE CARE INC |
| Address |
12750 Bass Lake Rd Maple Grove MN 55369-6307 |
| Phone Number | 7635531811 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 1987 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5193964542 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 12750 Bass Lake Rd, Maple Grove, MN 55369-6307 | 7635531811 | BASS LAKE FAMILY EYE CARE INC |
| Organization Legal Name | BASS LAKE FAMILY EYE CARE INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle M Martin | Optometry | Bass Lake Family Eye Care Inc | 12750 Bass Lake Rd, Maple Grove, MN 55369-6307 |
| Street Address |
12750 BASS LAKE RD |
| City | MAPLE GROVE |
| State | MN |
| Zip | 55369-6307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle M Martin | Optometry | Bass Lake Family Eye Care Inc | 12750 Bass Lake Rd, Maple Grove, MN 55369-6307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi J Hill | Qualified Audiologist | 512 Central Ave, Osseo, MN 55369-1129 | |
| Kristin Lori Kipka | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Mancel T Mitchell Iii | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Moushumi Meher | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Jennifer M Berger | Physician Assistant | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Neil P Jeddeloh | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Paul A Ruth | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Darrell A Krieger | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Kevin Raff | Family Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Vandana Gupta | Internal Medicine | North Clinic, Pa | 50 Central Ave, Osseo, MN 55369-1241 |
| Find all physicians in zip 55369 | |||
| City | MAPLE GROVE |
| Zip Code | 55369 |
| Specialty | OPTOMETRY |
| City + Specialty | MAPLE GROVE + 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.