Kenneth H Elder (NPI# 1922170224, PAC ID# 7012903099) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1922170224 |
| PAC ID by PECOS | 7012903099 |
| Professional Enrollment ID | I20040423001013 |
| Full Name | Kenneth H Elder |
| Organization Legal Name | WALLINGFORD EYE CARE CENTER P.C. |
| Address |
821 N Main St Ext Wallingford CT 06492-2464 |
| Phone Number | 2032655152 |
| Gender | M |
| Credential | OD |
| Medical School | STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY |
| Graduation Year | 2000 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5193812733 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 821 N Main St Ext, Wallingford, CT 06492-2464 | 2032655152 | WALLINGFORD EYE CARE CENTER P.C. |
| Organization Legal Name | WALLINGFORD EYE CARE CENTER P.C. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audrey Fung | Optometry | Wallingford Eye Care Center P.C. | 821 N Main St Ext, Wallingford, CT 06492-2464 |
| Janine Albanese | Optometry | Wallingford Eye Care Center P.C. | 821 N Main St Ext, Wallingford, CT 06492-2464 |
| John Sienko | Optometry | Wallingford Eye Care Center P.C. | 821 N Main St Ext, Wallingford, CT 06492-2464 |
| Street Address |
821 N MAIN ST EXT |
| City | WALLINGFORD |
| State | CT |
| Zip | 06492-2464 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audrey Fung | Optometry | Wallingford Eye Care Center P.C. | 821 N Main St Ext, Wallingford, CT 06492-2464 |
| Janine Albanese | Optometry | Wallingford Eye Care Center P.C. | 821 N Main St Ext, Wallingford, CT 06492-2464 |
| John Sienko | Optometry | Wallingford Eye Care Center P.C. | 821 N Main St Ext, Wallingford, CT 06492-2464 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shahzad Zaki | Family Medicine | 1257 S Broad St, Unit 4, Wallingford, CT 06492-1737 | |
| Sarah Caitlin Anderson | Chiropractic | 1271 S Broad St, Wallingford, CT 06492-1750 | |
| Megan M Mularski | Nurse Practitioner | Robinson Pa LLC | 85 Barnes Rd, Suite 201, Wallingford, CT 06492-1832 |
| Anace H Said | Internal Medicine | 85 Barnes Rd, Suite 202, Wallingford, CT 06492-1832 | |
| John P Calatayud | Chiropractic | 85 Barnes Rd, Suite 101, Wallingford, CT 06492-1832 | |
| Toccara L Mularski | Nurse Practitioner | Robinson Pa LLC | 85 Barnes Rd, Suite 201, Wallingford, CT 06492-1832 |
| John W Redmond | Ophthalmology | 85 Barnes Rd, Suite 102, Wallingford, CT 06492-1832 | |
| Lisa M Fritch | Nurse Practitioner | Robinson Pa LLC | 85 Barnes Rd, Suite 201, Wallingford, CT 06492-1832 |
| Theodora Fraser Mcpherson | Physician Assistant | Robinson Pa LLC | 85 Barnes Rd, Suite 201, Wallingford, CT 06492-1832 |
| Alfredo L Axtmayer | Orthopedic Surgery | 85 Barnes Rd, Suite 301, Wallingford, CT 06492-1832 | |
| Find all physicians in zip 06492 | |||
| City | WALLINGFORD |
| Zip Code | 06492 |
| Specialty | OPTOMETRY |
| City + Specialty | WALLINGFORD + OPTOMETRY |
Please comment or provide details below to improve the information on Kenneth H Elder.
| 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.