Kenton Mcdougall (NPI# 1245340116, PAC ID# 6002925005) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1245340116 |
| PAC ID by PECOS | 6002925005 |
| Professional Enrollment ID | I20110209001140 |
| Full Name | Kenton Mcdougall |
| Organization Legal Name | COLVILLE VALLEY EYECARE, PLLC |
| Address |
298 S Main St Suite 301 Colville WA 99114-2416 |
| Phone Number | 5096842221 |
| Gender | M |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1978 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8729231097 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 298 S Main St, Suite 301, Colville, WA 99114-2416 | 5096842221 | COLVILLE VALLEY EYECARE, PLLC |
| 298 S Main St, Colville, WA 99114-2416 | 5096842221 | COLVILLE VALLEY EYECARE, PLLC |
| Organization Legal Name | COLVILLE VALLEY EYECARE, PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynsey R Eveland | Optometry | Colville Valley Eyecare, Pllc | 298 S Main St, Suite 301, Colville, WA 99114-2416 |
| Street Address |
298 S MAIN ST SUITE 301 |
| City | COLVILLE |
| State | WA |
| Zip | 99114-2416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jo Nell R Amburgey | Clinical Social Worker | 298 S Main St, Suite L3, Colville, WA 99114-2447 | |
| Jason D Gutzwiler | Chiropractic | 298 S Main St, Suite 208, Colville, WA 99114-2416 | |
| Lynsey R Eveland | Optometry | Colville Valley Eyecare, Pllc | 298 S Main St, Suite 301, Colville, WA 99114-2416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl H Holling | Ophthalmology | 164 N Main St, Colville, WA 99114-2306 | |
| Melissa A Brooks | Nurse Practitioner | New Health Programs Association | 358 N Main St, Colville, WA 99114-2310 |
| James P Mullen | Family Medicine | New Health Programs Association | 358 N Main St, Colville, WA 99114-2310 |
| Donald L Jackson | Physician Assistant | New Health Programs Association | 358 N Main St, Colville, WA 99114-2310 |
| Kelly L Witte | Physician Assistant | New Health Programs Association | 358 N Main St, Colville, WA 99114-2310 |
| Marty P Malone | Physician Assistant | New Health Programs Association | 358 N Main St, Colville, WA 99114-2310 |
| Robert D Sumner | Physical Therapy | 212 W Birch Ave, Colville, WA 99114-2440 | |
| Terry H Lawson | Chiropractic | 555 S Main St, Suite A, Colville, WA 99114-2517 | |
| Carl A Baum | Psychiatry | Stevens County | 165 E Hawthorne Ave, Colville, WA 99114-2629 |
| Theresa L Brooks | Clinical Social Worker | Stevens County | 165 E Hawthorne Ave, Colville, WA 99114-2629 |
| Find all physicians in zip 99114 | |||
| City | COLVILLE |
| Zip Code | 99114 |
| Specialty | OPTOMETRY |
| City + Specialty | COLVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on Kenton Mcdougall.
| 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.