Keegan Johnson (NPI# 1861542532, PAC ID# 6507050010) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
Nation Provider ID (NPI) | 1861542532 |
PAC ID by PECOS | 6507050010 |
Professional Enrollment ID | I20110815000111 |
Full Name | Keegan Johnson |
Organization Legal Name | CENTER FOR SIGHT, INC |
Address |
1565 N Main St Suite 406 Fall River MA 02720-2972 |
Phone Number | 5086771921333 |
Gender | F |
Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
Graduation Year | 2006 |
Primary Specialty | OPHTHALMOLOGY |
Group Practice PAC ID | 7416945928 |
Number of Group Practice Members | 8 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
220074 | SOUTHCOAST HOSPITALS GROUP |
Address | Phone | Organization |
---|---|---|
1565 N Main St, Suite 406, Fall River, MA 02720-2972 | 5086771921333 | CENTER FOR SIGHT, INC |
Organization Legal Name | CENTER FOR SIGHT, INC |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Fatima Raposo | Optometry | Center for Sight, Inc | 1565 N Main St, Suite 406, Fall River, MA 02720-2972 |
Noelle L Pruzan | Ophthalmology | Center for Sight, Inc | 1565 N Main St, Suite 406, Fall River, MA 02720-2972 |
Robert Kelly | Ophthalmology | Center for Sight, Inc | 400 Warren Ave, East Providence, RI 02914-3907 |
Gregory T Hofeldt | Ophthalmology | Center for Sight, Inc | 1565 N Main St, Suite 406, Fall River, MA 02720-2972 |
Duane Smith | Optometry | Center for Sight, Inc | 1565 N Main St, Suite 406, Fall River, MA 02720-2972 |
Street Address |
1565 N MAIN ST SUITE 406 |
City | FALL RIVER |
State | MA |
Zip | 02720-2972 |
Name | Specialty | Organization | Address |
---|---|---|---|
Fatima Raposo | Optometry | Center for Sight, Inc | 1565 N Main St, Suite 406, Fall River, MA 02720-2972 |
Michael Gerlach | Physician Assistant | Southcoast Physicians Group, Inc.. | 1565 N Main St, Suite 306, Fall River, MA 02720-2972 |
Susan J Perry | Nurse Practitioner | Southcoast Physicians Group, Inc.. | 1565 N Main St, Suite 306, Fall River, MA 02720-2972 |
Tricia A Carty | Internal Medicine | Southcoast Physicians Group, Inc.. | 1565 N Main St, Suite 306, Fall River, MA 02720-2972 |
Shannon L Avery-desmarais | Nurse Practitioner | Southcoast Physicians Group, Inc.. | 1565 N Main St, Suite 306, Fall River, MA 02720-2972 |
Noelle L Pruzan | Ophthalmology | Center for Sight, Inc | 1565 N Main St, Suite 406, Fall River, MA 02720-2972 |
Irina Chernaya | Hospitalist | Southcoast Physicians Group, Inc.. | 1565 N Main St, Suite 306, Fall River, MA 02720-2972 |
Lucas R Ryback | Internal Medicine | Southcoast Physicians Group, Inc.. | 1565 N Main St, Suite 306, Fall River, MA 02720-2972 |
Thomas J. Doyle | Hospitalist | Southcoast Physicians Group, Inc.. | 1565 N Main St, Suite 306, Fall River, MA 02720-2972 |
Patricia M Grindell | Nurse Practitioner | Southcoast Physicians Group, Inc.. | 1565 N Main St, Suite 306, Fall River, MA 02720-2972 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Mark A Schreffler | Psychologist, Clinical | 800 Davol St, Fall River, MA 02720-1023 | |
Jacquline C Mosselle | Clinical Social Worker | Hri Clinics, Inc. | 1082 Davol St, Arbour Counseling Services, Fall River, MA 02720-1108 |
Mary E Morelli | Clinical Social Worker | Hri Clinics, Inc. | 1082 Davol St, Arbour Counseling Services, Fall River, MA 02720-1108 |
Gold Okoeka | Nurse Practitioner | Northeast Health Services LLC | 126 Cove St, Fall River, MA 02720-1306 |
Kristin M Aylward | Clinical Social Worker | Northeast Health Services LLC | 126 Cove St, Fall River, MA 02720-1306 |
Michael S Bezreh | Nurse Practitioner | Northeast Health Services LLC | 126 Cove St, Fall River, MA 02720-1306 |
Stacy A Gonsalves | Clinical Social Worker | The May Institute Inc | 126 Cove St, Fall River, MA 02720-1306 |
Irwin K Bennett | Psychiatry | The May Institute Inc | 126 Cove St, Fall River, MA 02720-1306 |
Mark S Siskind | Nephrology | Nephrology Associates Inc | 48 Weaver St, Fall River, MA 02720-1310 |
Joseph A Chazan | Nephrology | Nephrology Associates Inc | 48 Weaver St, Fall River, MA 02720-1310 |
Find all physicians in zip 02720 |
City | FALL RIVER |
Zip Code | 02720 |
Specialty | OPHTHALMOLOGY |
City + Specialty | FALL RIVER + OPHTHALMOLOGY |
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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.