Jacob A Erickson (NPI# 1700370749, PAC ID# 5890043822) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1700370749 |
| PAC ID by PECOS | 5890043822 |
| Professional Enrollment ID | I20180807002079 |
| Full Name | Jacob A Erickson |
| Organization Legal Name | THE SPECTACLE SHOPPE INC |
| Address |
1089 Grand Ave Saint Paul MN 55105-3002 |
| Phone Number | 6517974834 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2018 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1153447453 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1089 Grand Ave, Saint Paul, MN 55105-3002 | 6517974834 | THE SPECTACLE SHOPPE INC |
| Organization Legal Name | THE SPECTACLE SHOPPE INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Krysiak | Optometry | The Spectacle Shoppe Inc | 2050 Silver Lake Nwrd, New Brighton, MN 55112-5301 |
| Tyler K Baars | Optometry | The Spectacle Shoppe Inc | 1089 Grand Ave, Saint Paul, MN 55105-3002 |
| James K Brekke | Optometry | The Spectacle Shoppe Inc | 2050 Silver Lake Nwrd, New Brighton, MN 55112-5301 |
| Street Address |
1089 GRAND AVE |
| City | SAINT PAUL |
| State | MN |
| Zip | 55105-3002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler K Baars | Optometry | The Spectacle Shoppe Inc | 1089 Grand Ave, Saint Paul, MN 55105-3002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas W Winter | Internal Medicine | Rotilie, Toman, Mcraith, LLC | 2300 Saint Clair Ave, Saint Paul, MN 55105-1137 |
| Mark B Morrow | Internal Medicine | Rotilie, Toman, Mcraith, LLC | 2300 Saint Clair Ave, Saint Paul, MN 55105-1137 |
| Lee A Toman | Internal Medicine | Rotilie, Toman, Mcraith, LLC | 2300 Saint Clair Ave, Saint Paul, MN 55105-1137 |
| Norman J Segal | Clinical Social Worker | 2245 Saint Clair Ave, Saint Paul, MN 55105-1153 | |
| Kate G Boyle | Psychologist, Clinical | 241 Cleveland Ave S, Suite A7, Saint Paul, MN 55105-1200 | |
| Sarah L Hart | Psychologist, Clinical | 241 Cleveland Ave S, Suite P, Saint Paul, MN 55105-1208 | |
| Bonnie Lee Gray | Clinical Psychologist | 241 S Cleveland Ave, Saint Paul, MN 55105-1208 | |
| Kate M Hathaway | Psychologist, Clinical | 241 Cleveland S Ave P, Saint Paul, MN 55105-1208 | |
| Lynn A Richardson | Certified Clinical Nurse Specialist (cns) | 241 Cleveland Ave S, Suite P, Saint Paul, MN 55105-1208 | |
| Robin King Cooper | Psychologist, Clinical | 241 Cleveland Ave S, Suite P, Saint Paul, MN 55105-1208 | |
| Find all physicians in zip 55105 | |||
| City | SAINT PAUL |
| Zip Code | 55105 |
| Specialty | OPTOMETRY |
| City + Specialty | SAINT PAUL + OPTOMETRY |
Please comment or provide details below to improve the information on Jacob A Erickson.
| 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.