Joelle Mai Holland (NPI# 1063860997, PAC ID# 6608168828) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1063860997 |
| PAC ID by PECOS | 6608168828 |
| Professional Enrollment ID | I20160708001376 |
| Full Name | Joelle Mai Holland |
| Organization Legal Name | COMPLETE EYE CARE OF MEDINA |
| Address |
170 Westfalen Trl Medina MN 55340-4621 |
| Phone Number | 7634783505 |
| Gender | F |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 2016 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5991889511 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 170 Westfalen Trl, Medina, MN 55340-4621 | 7634783505 | COMPLETE EYE CARE OF MEDINA |
| Organization Legal Name | COMPLETE EYE CARE OF MEDINA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina M Wesley | Optometry | Complete Eye Care of Medina | 170 Westfalen Trl, Medina, MN 55340-4621 |
| Street Address |
170 WESTFALEN TRL |
| City | MEDINA |
| State | MN |
| Zip | 55340-4621 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina M Wesley | Optometry | Complete Eye Care of Medina | 170 Westfalen Trl, Medina, MN 55340-4621 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joicy R Thomas | Clinical Social Worker | 6552 Carriage Way, Corcoran, MN 55340-4443 | |
| Brenda K Fortin | Chiropractic | 75 Hamel Rd, Hamel, MN 55340-4567 | |
| John O'brien | Clinical Social Worker | Abintra Inc. | 172 Hamel Rd, Hamel, MN 55340-9535 |
| Stephanie K Morris | Clinical Social Worker | Abintra Inc. | 172 Hamel Rd, Hamel, MN 55340-9535 |
| City | MEDINA |
| Zip Code | 55340 |
| Specialty | OPTOMETRY |
| City + Specialty | MEDINA + OPTOMETRY |
Please comment or provide details below to improve the information on Joelle Mai Holland.
| 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.