Shawn R Miller (NPI# 1902211295, PAC ID# 7214154335) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1902211295 |
| PAC ID by PECOS | 7214154335 |
| Professional Enrollment ID | I20150728004710 |
| Full Name | Shawn R Miller |
| Organization Legal Name | GRAND TRAVERSE OPHTHALMOLOGY CLINIC PC |
| Address |
2061 M Suite 119 Petoskey MI 49770-8914 |
| Phone Number | 2314872020 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4981503521 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2061 M, Suite 119, Petoskey, MI 49770-8914 | 2314872020 | GRAND TRAVERSE OPHTHALMOLOGY CLINIC PC |
| Organization Legal Name | GRAND TRAVERSE OPHTHALMOLOGY CLINIC PC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Lintz | Optometry | Grand Traverse Ophthalmology Clinic PC | 929 Business Park Dr, Traverse City, MI 49686-8683 |
| Matthew P Madion | Ophthalmology | Grand Traverse Ophthalmology Clinic PC | 929 Business Park Dr, Traverse City, MI 49686-8683 |
| Roseanna M David | Optometry | Grand Traverse Ophthalmology Clinic PC | 929 Business Park Dr, Traverse City, MI 49686-8683 |
| John Ryan Mcmanus | Ophthalmology | Grand Traverse Ophthalmology Clinic PC | 929 Business Park Dr, Traverse City, MI 49686-8683 |
| Jeffrey N Wentzloff | Ophthalmology | Grand Traverse Ophthalmology Clinic PC | 929 Business Park Dr, Traverse City, MI 49686-8683 |
| Julie P Ritter | Optometry | Grand Traverse Ophthalmology Clinic PC | 929 Business Park Dr, Traverse City, MI 49686-8683 |
| Kenneth H Musson | Ophthalmology | Grand Traverse Ophthalmology Clinic PC | 929 Business Park Dr, Traverse City, MI 49686-8683 |
| Daniel D Thuente | Ophthalmology | Grand Traverse Ophthalmology Clinic PC | 929 Business Park Dr, Traverse City, MI 49686-8683 |
| Petra C Vonkulajta | Ophthalmology | Grand Traverse Ophthalmology Clinic PC | 929 Business Park Dr, Traverse City, MI 49686-8683 |
| Gregory M Noah | Optometry | Grand Traverse Ophthalmology Clinic PC | 929 Business Park Dr, Traverse City, MI 49686-8683 |
| Street Address |
2061 M SUITE 119 |
| City | PETOSKEY |
| State | MI |
| Zip | 49770-8914 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen P Kolt | Chiropractic | 1508 Us 31, Petoskey, MI 49770-0065 | |
| James J Beno | Chiropractic | 8983 M, Suite 119, Petoskey, MI 49770-0479 | |
| Amy Beck | Clinical Social Worker | 500 Madison St, Petoskey, MI 49770-2208 | |
| Amy L Juneau | Clinical Social Worker | 500 Madison St, Petoskey, MI 49770-2208 | |
| Timothy Robert La Gasse | Nurse Practitioner | Ecs Northern Michigan PC | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Keely Marie Blosh | Nurse Practitioner | Apogee Medical Group Michigan PC | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Gary H Shaw | Nephrology | Northern Michigan Medical Management | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Janean Ruth Haggins-dabney | Hospitalist | Apogee Medical Group Michigan PC | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Nel R Go | Diagnostic Radiology | Northern Imaging Associates PC | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Saw San | Hospitalist | Apogee Medical Group Michigan PC | 416 Connable Ave, Petoskey, MI 49770-2212 |
| Find all physicians in zip 49770 | |||
| City | PETOSKEY |
| Zip Code | 49770 |
| Specialty | OPTOMETRY |
| City + Specialty | PETOSKEY + OPTOMETRY |
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| 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.