Timothy D Mack (NPI# 1225442767, PAC ID# 7113249558) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1225442767 |
| PAC ID by PECOS | 7113249558 |
| Professional Enrollment ID | I20171205000156 |
| Full Name | Timothy D Mack |
| Address |
6044 W Hwy 74 Indian Trail NC 28079-3591 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 2010 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6044 W Hwy 74, Indian Trail, NC 28079-3591 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 50% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 78% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 95% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 80% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 76% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
6044 W HWY 74 |
| City | INDIAN TRAIL |
| State | NC |
| Zip | 28079-3591 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie K Mcginnis | Optometry | Premier Family Eye Care Od Pllc | 6044 W Hwy 74, Indian Trail, NC 28079-3591 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chonda E Washington | Optometry | Eyecarecenter Od Pa | 5850, 74 Unit 6, Indian Trail, NC 28079-3400 |
| Abigail Ogle | Nurse Practitioner | Carolinas Physicians Network Inc | 6030 W Hwy 74, Indian Trail, NC 28079-3469 |
| Leeann Hartley Jaco | Physician Assistant | Carolinas Physicians Network Inc | 6030 W Hwy 74, Indian Trail, NC 28079-3469 |
| Taisiya Netrebko | Internal Medicine | Carolinas Physicians Network Inc | 6030 W Hwy 74, Suite D, Indian Trail, NC 28079-3469 |
| Adrienne K Frentzel | Physician Assistant | Carolinas Physicians Network Inc | 6030 W Hwy 74, Indian Trail, NC 28079-3469 |
| Airely Gene Friedel | Physician Assistant | Carolinas Physicians Network Inc | 6030 W Hwy 74, Indian Trail, NC 28079-3469 |
| Barry A Sobel | Obstetrics/gynecology | Carolinas Physicians Network Inc | 6030 W Hwy 74, Suite B, Indian Trail, NC 28079-3469 |
| Robert Anthony Alcott | Sports Medicine | Carolinas Physicians Network Inc | 6030 W Hwy 74, Indian Trail, NC 28079-3469 |
| Maleah D Simpson-meek | Physician Assistant | Carolinas Physicians Network Inc | 6030 W Hwy 74, Indian Trail, NC 28079-3469 |
| Michael S Camp | Internal Medicine | Carolinas Physicians Network Inc | 6030 W Hwy 74, Indian Trail, NC 28079-3469 |
| Find all physicians in zip 28079 | |||
| City | INDIAN TRAIL |
| Zip Code | 28079 |
| Specialty | OPTOMETRY |
| City + Specialty | INDIAN TRAIL + OPTOMETRY |
Please comment or provide details below to improve the information on Timothy D Mack.
| 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.