Eric T Kitzmann (NPI# 1134500200, PAC ID# 6800109240) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1134500200 |
| PAC ID by PECOS | 6800109240 |
| Professional Enrollment ID | I20150714003016 |
| Full Name | Eric T Kitzmann |
| Organization Legal Name | EYE CARE PAVILION PLC |
| Address |
4310 E 53rd St Davenport IA 52807-3039 |
| Phone Number | 5633242020 |
| Gender | M |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2062460843 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4310 E 53rd St, Davenport, IA 52807-3039 | 5633242020 | EYE CARE PAVILION PLC |
| Organization Legal Name | EYE CARE PAVILION PLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shari Ann Selander-storm | Optometry | Eye Care Pavilion Plc | 4310 E 53rd St, Davenport, IA 52807-3039 |
| Melissa J Hogren | Optometry | Eye Care Pavilion Plc | 4310 E 53rd St, Davenport, IA 52807-3039 |
| Carla S Courtney | Optometry | Eye Care Pavilion Plc | 4310 E 53rd St, Davenport, IA 52807-3039 |
| Ruth S Mcandrews | Optometry | Eye Care Pavilion Plc | 4310 E 53rd St, Davenport, IA 52807-3039 |
| Street Address |
4310 E 53RD ST |
| City | DAVENPORT |
| State | IA |
| Zip | 52807-3039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shari Ann Selander-storm | Optometry | Eye Care Pavilion Plc | 4310 E 53rd St, Davenport, IA 52807-3039 |
| Melissa J Hogren | Optometry | Eye Care Pavilion Plc | 4310 E 53rd St, Davenport, IA 52807-3039 |
| Carla S Courtney | Optometry | Eye Care Pavilion Plc | 4310 E 53rd St, Davenport, IA 52807-3039 |
| Ruth S Mcandrews | Optometry | Eye Care Pavilion Plc | 4310 E 53rd St, Davenport, IA 52807-3039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristine F Oswald | Clinical Social Worker | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Karen K Maves | Allergy/immunology | 2112 E 38th St, Davenport, IA 52807-1135 | |
| Robin R Peterson | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Robert L Koupal | Clinical Social Worker | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Wayne M Sliwa | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Judy H Prochaska | Clinical Social Worker | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Julia Marmion | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Jolene C Atkinson | Clinical Social Worker | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Robert Andrew Gillespie | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Jessica M Schultz | Psychologist, Clinical | Psychology Health Group | 2102 E 38th St, Davenport, IA 52807-1135 |
| Find all physicians in zip 52807 | |||
| City | DAVENPORT |
| Zip Code | 52807 |
| Specialty | OPTOMETRY |
| City + Specialty | DAVENPORT + OPTOMETRY |
Please comment or provide details below to improve the information on Eric T Kitzmann.
| 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.