Caitlin Squires (NPI# 1639731250, PAC ID# 5890021968) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1639731250 |
| PAC ID by PECOS | 5890021968 |
| Professional Enrollment ID | I20190726001416 |
| Full Name | Caitlin Squires |
| Organization Legal Name | LIFETIME VISION SOURCE OF LEBANON LLC |
| Address |
90 Market St Suite 20 Lebanon OR 97355-2396 |
| Phone Number | 5414511144 |
| Gender | F |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2019 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6608773148 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 90 Market St, Suite 20, Lebanon, OR 97355-2396 | 5414511144 | LIFETIME VISION SOURCE OF LEBANON LLC |
| Organization Legal Name | LIFETIME VISION SOURCE OF LEBANON LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger Munk | Optometry | Lifetime Vision Source of Lebanon LLC | 90 Market St, Suite 20, Lebanon, OR 97355-2396 |
| Dennis Pearson | Optometry | Lifetime Vision Source of Lebanon LLC | 90 Market St, Suite 20, Lebanon, OR 97355-2396 |
| Street Address |
90 MARKET ST SUITE 20 |
| City | LEBANON |
| State | OR |
| Zip | 97355-2396 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger Munk | Optometry | Lifetime Vision Source of Lebanon LLC | 90 Market St, Suite 20, Lebanon, OR 97355-2396 |
| Dennis Pearson | Optometry | Lifetime Vision Source of Lebanon LLC | 90 Market St, Suite 20, Lebanon, OR 97355-2396 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy A Springer | Clinical Social Worker | 1105 S Airport Rd, Lebanon, OR 97355-1211 | |
| Michael W Stoner | Optometry | 350 S, 8th, Lebanon, OR 97355-2242 | |
| Kyle Leland Horner | Dermatology | 2500 S Main Rd, Lebanon, OR 97355-2336 | |
| Laura E Sisson | Clinical Psychologist | Mid-valley Healthcare Inc | 100 Mullins Dr, Lebanon, OR 97355-2868 |
| Richard B Halbur | Physician Assistant | Mid-valley Healthcare Inc | 191 N Main St, Lebanon, OR 97355-2870 |
| Richard C Evans | Family Medicine | Mid-valley Healthcare Inc | 191 N Main St, Lebanon, OR 97355-2870 |
| Christopher M Wallis | Physician Assistant | Mid-valley Healthcare Inc | 191 N Main St, Lebanon, OR 97355-2870 |
| Robert T Park | Obstetrics/gynecology | Mid-valley Healthcare Inc | 675 N 5th St, Lebanon, OR 97355-2875 |
| Elena N Noonan | Physician Assistant | Mid-valley Healthcare Inc | 675 N 5th St, Lebanon, OR 97355-2875 |
| Karen Denise Mallozzi | Nurse Practitioner | Mid-valley Healthcare Inc | 675 N 5th St, Lebanon, OR 97355-2875 |
| Find all physicians in zip 97355 | |||
| City | LEBANON |
| Zip Code | 97355 |
| Specialty | OPTOMETRY |
| City + Specialty | LEBANON + OPTOMETRY |
Please comment or provide details below to improve the information on Caitlin Squires.
| 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.