Elaine Icban (NPI# 1609814177, PAC ID# 4385645456) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1609814177 |
PAC ID by PECOS | 4385645456 |
Professional Enrollment ID | I20090327000039 |
Full Name | Elaine Icban |
Organization Legal Name | UNIVERSITY EYE CARE LLC |
Address |
221 University Ave Westwood MA 02090-2333 |
Phone Number | 7813267359 |
Gender | F |
Credential | OD |
Medical School | UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY |
Graduation Year | 2005 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 0749586410 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
930 Commonwealth Ave, Boston, MA 02215-1220 | 6172622020 | NEW ENGLAND EYE INSTITUTE, INC. |
221 University Ave, Westwood, MA 02090-2333 | 7813267359 | UNIVERSITY EYE CARE LLC |
Organization Legal Name | UNIVERSITY EYE CARE LLC |
Physicians | 1 |
Street Address |
221 UNIVERSITY AVE |
City | WESTWOOD |
State | MA |
Zip | 02090-2333 |
Name | Specialty | Organization | Address |
---|---|---|---|
Constance S Lee | Optometry | 221 University Ave, Westwood, MA 02090-2333 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sonia B Michelson | Clinical Social Worker | 10 Longwood Dr, Westwood, MA 02090-1123 | |
Melinda A Brecher | Clinical Social Worker | The Arc of South Norfolk, Inc | 789 Clapboardtree St, Westwood, MA 02090-1717 |
Joel Goldstein | Clinical Social Worker | The Arc of South Norfolk, Inc | 789 Clapboardtree St, Westwood, MA 02090-1717 |
Steven J Spitz | Psychiatry | The Arc of South Norfolk, Inc | 789 Clapboardtree St, Westwood, MA 02090-1717 |
Stephen C Nadel | Clinical Social Worker | The Arc of South Norfolk, Inc | 789 Clapboardtree St, Westwood, MA 02090-1717 |
Lisa K Heyison | Clinical Social Worker | The Arc of South Norfolk, Inc | 789 Clapboardtree St, Westwood, MA 02090-1717 |
Arthur Stuchins | Optometry | 361 Washington St, Westwood, MA 02090-1801 | |
David Fleischman | Physical Therapy | 321 Washington St, Westwood, MA 02090-1801 | |
Sharon Hatch | Physician Assistant | Bond Medical Consultants PC | 284 Canton St, Westwood, MA 02090-2206 |
Donna-marie Lynch | Nurse Practitioner | Bond Medical Consultants PC | 284 Canton St, Westwood, MA 02090-2206 |
Find all physicians in zip 02090 |
City | WESTWOOD |
Zip Code | 02090 |
Specialty | OPTOMETRY |
City + Specialty | WESTWOOD + 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.