Rhonda Dameron (NPI# 1306952072, PAC ID# 6103038260) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1306952072 |
| PAC ID by PECOS | 6103038260 |
| Professional Enrollment ID | I20110214000422 |
| Full Name | Rhonda Dameron |
| Organization Legal Name | JAK ENTERPRISES INC |
| Address |
8309 N Knoxville Ave Suite 1 Peoria IL 61615-2171 |
| Phone Number | 3097133664 |
| Gender | F |
| Graduation Year | 1980 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3173519014 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8309 N Knoxville Ave, Suite 1, Peoria, IL 61615-2171 | 3097133664 | JAK ENTERPRISES INC |
| Organization Legal Name | JAK ENTERPRISES INC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharna Annise Wiltz | Optometry | Jak Enterprises Inc | 3287 Court St, Pekin, IL 61554-6208 |
| Molly M Guithues | Optometry | Jak Enterprises Inc | 331 W 1st Dr, Decatur, IL 62521-5207 |
| Nicole M Jensen | Optometry | Jak Enterprises Inc | 1200 W Main St, Suite 21, Peoria, IL 61606-1218 |
| Steven H Lane | Optometry | Jak Enterprises Inc | 1351 Hickory Point Dr, B, Forsyth, IL 62535-1085 |
| Jeffrey S Heden | Optometry | Jak Enterprises Inc | 4032 46th Ave, Rock Island, IL 61201-7164 |
| Brian D Henson | Optometry | Jak Enterprises Inc | 1712 W Reynold Rd, Pontiac, IL 61764-9695 |
| John J Rimkus | Optometry | Jak Enterprises Inc | 3215 E Lincolnway, Sterling, IL 61081-1772 |
| Stacy A Twenhafel | Optometry | Jak Enterprises Inc | 907 W Marketview Dr, Champaign, IL 61822-1227 |
| David R Morgret | Optometry | Jak Enterprises Inc | 1265 N Henderson St, Galesburg, IL 61401-1510 |
| Joseph B Jackson | Optometry | Jak Enterprises Inc | 3323 Frontage Rd, Peru, IL 61354-1101 |
| Street Address |
8309 N KNOXVILLE AVE SUITE 1 |
| City | PEORIA |
| State | IL |
| Zip | 61615-2171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc C Sarmiento | Optometry | Jak Enterprises Inc | 8309 N Knoxville Ave, Suite 1, Peoria, IL 61615-2171 |
| Rebecca D Ryan | Optometry | Jak Enterprises Inc | 8309 N Knoxville Ave, Peoria, IL 61615-2170 |
| Barbara Portillo | Optometry | Jak Enterprises Inc | 8309 N Knoxville Ave, Suite 1, Peoria, IL 61615-2171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer N Thompson | Ophthalmology | Gailey Eye Clinic, Ltd | 8800 N Orange Prairie, Peoria, IL 61615 |
| Jeffrey Y Liang | Internal Medicine | Iowa Physicians Clinic Medical Foundation | 10322 N Juliet Ct, Peoria, IL 61615-1199 |
| Matthew Carr | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 8914 N Knoxville Ave, Peoria, IL 61615-1410 |
| Abby G Freckleton | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 8914 N Knoxville Ave, Peoria, IL 61615-1410 |
| Susannah Dintzis | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 8914 N Knoxville Ave, Peoria, IL 61615-1410 |
| Michael J Pace | Family Practice | Methodist Medical Center of Illinois | 8914 N Knoxville Ave, Peoria, IL 61615-1410 |
| Amanda Miriam Kilgore | Physical Therapy | Michael D. Tarantino, M.d. S.c. | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 |
| Michael Dominic Tarantino | Hematology/oncology | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | |
| Rohith Jesudas | Pediatric Medicine | Michael D. Tarantino, M.d. S.c. | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 |
| Elizabeth A Lepper | Nurse Practitioner | Michael D. Tarantino, M.d. S.c. | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 |
| Find all physicians in zip 61615 | |||
| City | PEORIA |
| Zip Code | 61615 |
| Specialty | OPTOMETRY |
| City + Specialty | PEORIA + OPTOMETRY |
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| 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.