Mallory S Roberts (NPI# 1679668198, PAC ID# 6709878762) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1679668198 |
| PAC ID by PECOS | 6709878762 |
| Professional Enrollment ID | I20040405000086 |
| Full Name | Mallory S Roberts |
| Address |
255 Main St Calhoun KY 42327-2104 |
| Phone Number | 2702733000 |
| Gender | F |
| Credential | OD |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1303 Main St, Beaver Dam, KY 42320-8957 | 2702743294 | BLUEGRASS FAMILY EYECARE INC. |
| 255 Main St, Calhoun, KY 42327-2104 | 2702733000 |
| Street Address |
255 MAIN ST |
| City | CALHOUN |
| State | KY |
| Zip | 42327-2104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell Wohl | Optometry | 255 Main St, Farmingdale, NY 11735-2619 | |
| James L Kennedy | Clinical Psychologist | 255 Main St, Rm 13, Marlborough, MA 01752-5505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annie R Gray-dalton | Clinical Social Worker | 180 Main St, Calhoun, KY 42327-2151 | |
| Hugh H Wilhite | Family Practice | Owensboro Health Medical Group Inc | 145 E 2nd St, Calhoun, KY 42327-2205 |
| Andria L Brooks | Chiropractic | 344 State Rt 81, Calhoun, KY 42327-9782 |
| City | CALHOUN |
| Zip Code | 42327 |
| Specialty | OPTOMETRY |
| City + Specialty | CALHOUN + OPTOMETRY |
Please comment or provide details below to improve the information on Mallory S Roberts.
| 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.