Evan J Tirado (NPI# 1861904559, PAC ID# 6507128857) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1861904559 |
PAC ID by PECOS | 6507128857 |
Professional Enrollment ID | I20180326001383 |
Full Name | Evan J Tirado |
Organization Legal Name | WYCKOFF OPTICAL INC |
Address |
400 Franklin Ave Wyckoff NJ 07481-1347 |
Phone Number | 2015601000 |
Gender | M |
Medical School | NEW ENGLAND COLLEGE OF OPTOMETRY |
Graduation Year | 2017 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 2961764220 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
400 Franklin Ave, Wyckoff, NJ 07481-1347 | 2015601000 | WYCKOFF OPTICAL INC |
Organization Legal Name | WYCKOFF OPTICAL INC |
Physicians | 1 |
Street Address |
400 FRANKLIN AVE |
City | WYCKOFF |
State | NJ |
Zip | 07481-1347 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tracey L Sinoway | Optometry | 400 Franklin Ave, Wyckoff, NJ 07481-1347 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gary V Goodmark | Chiropractic | 615 Wyckoff Ave, Wyckoff, NJ 07481-1343 | |
Barbara Holub Bizub | Chiropractic | 615 Wyckoff Ave, Wyckoff, NJ 07481-1343 | |
Martin Whiteman | Neurology | 500 W Main St, Suite 16, Wyckoff, NJ 07481-1406 | |
Steffani Marsh | Physical Therapy | Professional Occupational and Physical Therapy Pllc | 668 Wyckoff Ave, Wyckoff, NJ 07481-1430 |
Manal Sous | Psychiatry | 637 Wyckoff Ave, Wyckoff, NJ 07481-1438 | |
Karrie Sterkenburg | Physical Therapy | Sportscare of America, PC | 637 Wyckoff Ave, Suite 25, Wyckoff, NJ 07481-1442 |
Matthew Shohen | Physical Therapy | Sportscare of America, PC | 637 Wyckoff Ave, Suite 25, Wyckoff, NJ 07481-1442 |
Patrick M Boyan | Physical Therapy | Sportscare of America, PC | 637 Wyckoff Ave, Suite 25, Wyckoff, NJ 07481-1442 |
Christine Marie Hourihan | Chiropractic | 633 Wyckoff Ave, Wyckoff, NJ 07481-1445 | |
Melanie Sinatra | Ophthalmology | Wyckoff Ophthalmology,llc | 350 Franklin Ave, Wyckoff, NJ 07481-1909 |
Find all physicians in zip 07481 |
City | WYCKOFF |
Zip Code | 07481 |
Specialty | OPTOMETRY |
City + Specialty | WYCKOFF + 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.