Andrew Stack (NPI# 1306983648, PAC ID# 5597716803) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1306983648 |
| PAC ID by PECOS | 5597716803 |
| Professional Enrollment ID | I20050203000701 |
| Full Name | Andrew Stack |
| Organization Legal Name | MYEYEDR OPTOMETRY OF CONNECTICUT, LLC |
| Address |
1457 Whalley Ave New Haven CT 06515-1153 |
| Phone Number | 2033873937 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY |
| Graduation Year | 1985 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1557666237 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1457 Whalley Ave, New Haven, CT 06515-1153 | 2033873937 | MYEYEDR OPTOMETRY OF CONNECTICUT, LLC |
| Organization Legal Name | MYEYEDR OPTOMETRY OF CONNECTICUT, LLC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amara Akbar | Optometry | Myeyedr Optometry of Connecticut, LLC | 997 Main St, Watertown, CT 06795-2914 |
| Roderick Lucien Swift | Optometry | Myeyedr Optometry of Connecticut, LLC | 65 N St, Danbury, CT 06810-5640 |
| Tiffany Nicole Deleon | Optometry | Myeyedr Optometry of Connecticut, LLC | 58 Maple St, Suite 3, Naugatuck, CT 06770-4104 |
| Jamee Patel | Optometry | Myeyedr Optometry of Connecticut, LLC | 145 Wakelee Ave, Ansonia, CT 06401-1176 |
| Sidet Sou | Optometry | Myeyedr Optometry of Connecticut, LLC | 2165 Dixwell Ave, Hamden, CT 06514-2116 |
| Stephen M Dincher | Optometry | Myeyedr Optometry of Connecticut, LLC | 100 Main St N, Southbury, CT 06488-3840 |
| Joel Roffer | Optometry | Myeyedr Optometry of Connecticut, LLC | 38 Fenn Rd, Newington, CT 06111-2212 |
| Megan Suzanne Young | Optometry | Myeyedr Optometry of Connecticut, LLC | 400 Talcottville Rd, Suite 1, Vernon, CT 06066-7032 |
| Peter A Remillard | Optometry | Myeyedr Optometry of Connecticut, LLC | 1785 Highland Ave, Cheshire, CT 06410-1272 |
| Shannon M Mulligan | Optometry | Myeyedr Optometry of Connecticut, LLC | 604 Lakewood Rd, Waterbury, CT 06704-2419 |
| Street Address |
1457 WHALLEY AVE |
| City | NEW HAVEN |
| State | CT |
| Zip | 06515-1153 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy P Kok | Optometry | Myeyedr Optometry of Connecticut, LLC | 1457 Whalley Ave, New Haven, CT 06515-1153 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heni Schwartz | Clinical Social Worker | Jewish Family Service of New Haven Inc. | 1440 Whalley Ave, New Haven, CT 06515-1144 |
| Margaliet Ligtenstein | Clinical Social Worker | Jewish Family Service of New Haven Inc. | 1440 Whalley Ave, New Haven, CT 06515-1144 |
| Shelly I Bheer | Clinical Social Worker | Jewish Family Service of New Haven Inc. | 1440 Whalley Ave, New Haven, CT 06515-1144 |
| Gayle S Daskal | Clinical Social Worker | Jewish Family Service of New Haven Inc. | 1440 Whalley Ave, New Haven, CT 06515-1144 |
| Amy G Rashba | Clinical Social Worker | Jewish Family Service of New Haven Inc. | 1440 Whalley Ave, New Haven, CT 06515-1144 |
| Madeleine Fejos | Clinical Social Worker | Jewish Family Service of New Haven Inc. | 1440 Whalley Ave, New Haven, CT 06515-1144 |
| Muneeb A Samma | Internal Medicine | 1351 Whalley Ave, New Haven, CT 06515-1149 | |
| Jennifer Ruby | Nurse Practitioner | Physicians Alliance of Connecticut LLC | 1453 Whalley Ave, New Haven, CT 06515-1153 |
| Ela J Eris | Internal Medicine | Physicians Alliance of Connecticut LLC | 1453 Whalley Ave, New Haven, CT 06515-1153 |
| Margaret M Hansley | Nurse Practitioner | Physicians Alliance of Connecticut LLC | 1453 Whalley Ave, New Haven, CT 06515-1153 |
| Find all physicians in zip 06515 | |||
| City | NEW HAVEN |
| Zip Code | 06515 |
| Specialty | OPTOMETRY |
| City + Specialty | NEW HAVEN + 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.