Kristin Schick Fonseca (NPI# 1477960763, PAC ID# 5698004109) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1477960763 |
| PAC ID by PECOS | 5698004109 |
| Professional Enrollment ID | I20190909003683 |
| Full Name | Kristin Schick Fonseca |
| Organization Legal Name | DESOTO EYECARE INC |
| Address |
7164 Hacks Cross Rd Suite 126 Olive Branch MS 38654-3910 |
| Phone Number | 6628953937 |
| Gender | F |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2014 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1254232655 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1264 Wesley Dr, Suite 209, Memphis, TN 38116-6444 | 9013473991 | DESOTO EYECARE INC |
| 7164 Hacks Cross Rd, Suite 126, Olive Branch, MS 38654-3910 | 6628953937 | DESOTO EYECARE INC |
| 726 Goodman E Rd, B, Southaven, MS 38671-9530 | 6623491959 | DESOTO EYECARE INC |
| Organization Legal Name | DESOTO EYECARE INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip Hooker Jr. | Optometry | Desoto Eyecare Inc | 7164 Hacks Cross Rd, Suite 126, Olive Branch, MS 38654-3910 |
| Michael Leonard Wertheimer | Ophthalmology | Desoto Eyecare Inc | 7164 Hacks Cross Rd, Suite 126, Olive Branch, MS 38654-3910 |
| Alan R Schaeffer | Ophthalmology | Desoto Eyecare Inc | 1264 Wesley Dr, Suite 209, Memphis, TN 38116-6444 |
| Annie Yunjie Hao | Optometry | Desoto Eyecare Inc | 1264 Wesley Dr, Suite 209, Memphis, TN 38116-6444 |
| Street Address |
7164 HACKS CROSS RD SUITE 126 |
| City | OLIVE BRANCH |
| State | MS |
| Zip | 38654-3910 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip Hooker Jr. | Optometry | Desoto Eyecare Inc | 7164 Hacks Cross Rd, Suite 126, Olive Branch, MS 38654-3910 |
| Michael Leonard Wertheimer | Ophthalmology | Desoto Eyecare Inc | 7164 Hacks Cross Rd, Suite 126, Olive Branch, MS 38654-3910 |
| Nikolas R Chillies | Chiropractic | 7164 Hacks Cross Rd, Suite 110, Olive Branch, MS 38654-3907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan Musso | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Clare E Benson | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Shavon Conerly | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Steven Hopkins | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Nicholas Bailey | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Emily Michele Terrell | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| John H Desutter | Chiropractic | 9659 Goodman Rd, Olive Branch, MS 38654-1725 | |
| Vickie D Long | Nurse Practitioner | 9684 Old Goodman Rd, Olive Branch, MS 38654-1726 | |
| Jennifer C Sanders | Nurse Practitioner | Primary Care Group, LLC | 7163 Goodman Rd, Olive Branch, MS 38654-1904 |
| Shailesh Patel | Internal Medicine | Primary Care Group, LLC | 7163 Goodman Rd, Olive Branch, MS 38654-1904 |
| Find all physicians in zip 38654 | |||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
| Specialty | OPTOMETRY |
| City + Specialty | OLIVE BRANCH + OPTOMETRY |
Please comment or provide details below to improve the information on Kristin Schick Fonseca.
| 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.