Stacey T Gin
GLENDALE OPTOMETRIC CENTER


Address: 308 E Broadway, Glendale, CA 91205-1011
Phone: 8182431300

Stacey T Gin (NPI# 1619085149, PAC ID# 5991895195) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.

Physician Overview

Nation Provider ID (NPI) 1619085149
PAC ID by PECOS 5991895195
Professional Enrollment ID I20071211000817
Full Name Stacey T Gin
Organization Legal Name GLENDALE OPTOMETRIC CENTER
Address 308 E Broadway
Glendale
CA 91205-1011
Phone Number 8182431300
Gender F
Medical School SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduation Year 2006
Primary Specialty OPTOMETRY
Group Practice PAC ID 2365532561
Number of Group Practice Members 4
Accepts Medicare Assignment M

Other Locations

Address Phone Organization
100 E Huntington Dr, Suite 102, Alhambra, CA 91801-1022 6262811399 HUNTINGTON OPTOMETRIC CENTER
308 E Broadway, Glendale, CA 91205-1011 8182431300 GLENDALE OPTOMETRIC CENTER

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 97%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%

Organization Information

Organization Legal Name GLENDALE OPTOMETRIC CENTER
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Bonnie C Peng Optometry Glendale Optometric Center 308 E Broadway, Glendale, CA 91205-1011
Jane Pouvaranukoah Optometry Glendale Optometric Center 308 E Broadway, Glendale, CA 91205-1011
Jeffrey T Nishi Optometry Glendale Optometric Center 308 E Broadway, Glendale, CA 91205-1011

Office Location

Street Address 308 E BROADWAY
City GLENDALE
State CA
Zip 91205-1011

Physicians in the same location

Name Specialty Organization Address
Bonnie C Peng Optometry Glendale Optometric Center 308 E Broadway, Glendale, CA 91205-1011
Jane Pouvaranukoah Optometry Glendale Optometric Center 308 E Broadway, Glendale, CA 91205-1011
Jeffrey T Nishi Optometry Glendale Optometric Center 308 E Broadway, Glendale, CA 91205-1011

Physicians in the same zip code

Name Specialty Organization Address
Omar E Espinosa General Practice E1110s Glendale Ave, Glendale, CA 91205
Leon H Hoffman Optometry 113 E Broadway, Glendale, CA 91205-1006
Armen Derboghossians Urology 116 S Louise St, Glendale, CA 91205-1025
Lisa Ann Moreno Nurse Practitioner All for Health Health for All Inc 519 E Broadway, Glendale, CA 91205-1110
Noobar Janoian Family Medicine All for Health Health for All Inc 519 E Broadway, Glendale, CA 91205-1110
Artur Vardanyan General Practice All for Health Health for All Inc 519 E Broadway, Glendale, CA 91205-1110
Leonardo Garduno Family Medicine All for Health Health for All Inc 519 E Broadway, Glendale, CA 91205-1110
Diana Sayadyan Family Medicine All for Health Health for All Inc 519 E Broadway, Glendale, CA 91205-1110
Arpi Hambarchyan Family Medicine All for Health Health for All Inc 519 E Broadway, Glendale, CA 91205-1110
Bessy M Martirosyan Psychiatry All for Health Health for All Inc 519 E Broadway, Glendale, CA 91205-1110
Find all physicians in zip 91205

Competitor

Search similar physicians

City GLENDALE
Zip Code 91205
Specialty OPTOMETRY
City + Specialty GLENDALE + OPTOMETRY

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Dataset Information

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.

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