Beth A Kunkel (NPI# 1912050527, PAC ID# 4789871930) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1912050527 |
| PAC ID by PECOS | 4789871930 |
| Professional Enrollment ID | I20101214000534 |
| Full Name | Beth A Kunkel |
| Organization Legal Name | EYESITE-ILLINOIS VALLEY, LLC |
| Address |
925 Clinton St Ottawa IL 61350-2037 |
| Phone Number | 8154347970 |
| Gender | F |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1991 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4284790247 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 925 Clinton St, Ottawa, IL 61350-2037 | 8154347970 | EYESITE-ILLINOIS VALLEY, LLC |
| 215 Richard A Mautino Dr, Spring Valley, IL 61362-1144 | 8156645331 | EYESITE-ILLINOIS VALLEY, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | EYESITE-ILLINOIS VALLEY, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Mcnamara | Optometry | Eyesite-illinois Valley, LLC | 822 La Salle St, Ottawa, IL 61350-2066 |
| Kent A Kunkel | Optometry | Eyesite-illinois Valley, LLC | 215 Richard A Mautino Dr, Spring Valley, IL 61362-1144 |
| Street Address |
925 CLINTON ST |
| City | OTTAWA |
| State | IL |
| Zip | 61350-2037 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy A Aubry | Clinical Social Worker | Crossroads Counseling Services, LLC | 601 W Norris Dr, Suite B, Ottawa, IL 61350-1308 |
| Craig S Laasch | Psychologist, Clinical | Crossroads Counseling Services, LLC | 601 W Norris Dr, Suite B, Ottawa, IL 61350-1308 |
| Erik John Fossen | Emergency Medicine | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Jeffrey Alan Crowhurst | Podiatry | 1100 E Norris Dr, Ottawa, IL 61350-1604 | |
| Angela C Nimke | Clinical Social Worker | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Neil N Pandya | Internal Medicine | 24 On Physicians PC | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Susan M Rohr | Clinical Social Worker | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Anthony C Zalduendo | Radiation Oncology | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Daniel R Mueller | Emergency Medicine | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Mohammed Siddiqui | Internal Medicine | 24 On Physicians PC | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Find all physicians in zip 61350 | |||
| City | OTTAWA |
| Zip Code | 61350 |
| Specialty | OPTOMETRY |
| City + Specialty | OTTAWA + OPTOMETRY |
Please comment or provide details below to improve the information on Beth A Kunkel.
| 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.