Mary Lack (NPI# 1801882535, PAC ID# 7214967025) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1801882535 |
| PAC ID by PECOS | 7214967025 |
| Professional Enrollment ID | I20100408000088 |
| Full Name | Mary Lack |
| Organization Legal Name | BARBERTON EYE CENTER,LLC |
| Address |
31 Conservatory Dr Barberton OH 44203-4281 |
| Phone Number | 3307454404 |
| Gender | F |
| Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1992 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6305876111 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 31 Conservatory Dr, Barberton, OH 44203-4281 | 3307454404 | BARBERTON EYE CENTER,LLC |
| 150 Springside Dr, 300c, Fairlawn, OH 44333-4526 | 3306660707 | BARBERTON EYE CENTER,LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | BARBERTON EYE CENTER,LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison R Bolinger | Optometry | Barberton Eye Center,llc | 31 Conservatory Dr, Barberton, OH 44203-4281 |
| Chris A Calaway | Optometry | Barberton Eye Center,llc | 31 Conservatory Dr, Barberton, OH 44203-4281 |
| Phillip A Kades | Optometry | Barberton Eye Center,llc | 31 Conservatory Dr, Barberton, OH 44203-4281 |
| Donald Ray Murphy | Optometry | Barberton Eye Center,llc | 31 Conservatory Dr, Barberton, OH 44203-4281 |
| Street Address |
31 CONSERVATORY DR |
| City | BARBERTON |
| State | OH |
| Zip | 44203-4281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison R Bolinger | Optometry | Barberton Eye Center,llc | 31 Conservatory Dr, Barberton, OH 44203-4281 |
| Chris A Calaway | Optometry | Barberton Eye Center,llc | 31 Conservatory Dr, Barberton, OH 44203-4281 |
| Phillip A Kades | Optometry | Barberton Eye Center,llc | 31 Conservatory Dr, Barberton, OH 44203-4281 |
| Jeffrey Todd Starkey | Ophthalmology | 31 Conservatory Dr, Barberton, OH 44203-4281 | |
| Donald Ray Murphy | Optometry | Barberton Eye Center,llc | 31 Conservatory Dr, Barberton, OH 44203-4281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edmond R Hakim | Optometry | 254 Norton Ave, Barberton, OH 44203-1932 | |
| Jeremy Curtis Oller | Physical Therapy | Drayer Physical Therapy Northern Ohio LLC | 129 5th Street Se, Barberton, OH 44203-2512 |
| Paul Edward Glass | Physical Therapy | Drayer Physical Therapy Northern Ohio LLC | 129 5th Street Se, Barberton, OH 44203-2512 |
| Meghan C Wells | Physical Therapy | Drayer Physical Therapy Northern Ohio LLC | 129 5th Street Se, Barberton, OH 44203-2512 |
| Andrew Mangano | Physical Therapy | Drayer Physical Therapy Northern Ohio LLC | 129 5th Street Se, Barberton, OH 44203-2512 |
| Michael D Gromofsky | Physical Therapy | Drayer Physical Therapy Northern Ohio LLC | 129 5th Street Se, Barberton, OH 44203-2512 |
| Jordan Marolt | Physical Therapy | Drayer Physical Therapy Northern Ohio LLC | 129 5th Street Se, Barberton, OH 44203-2512 |
| Joseph V Booth | Physical Therapy | Drayer Physical Therapy Northern Ohio LLC | 129 5th Street Se, Barberton, OH 44203-2512 |
| Jennifer L Heisel-mangano | Physical Therapy | Drayer Physical Therapy Northern Ohio LLC | 129 5th Street Se, Barberton, OH 44203-2512 |
| Jennifer E Godwin | Obstetrics/gynecology | Community Health Care Inc. | 201 5th St Ne, Suite 15, Barberton, OH 44203-3017 |
| Find all physicians in zip 44203 | |||
| City | BARBERTON |
| Zip Code | 44203 |
| Specialty | OPTOMETRY |
| City + Specialty | BARBERTON + OPTOMETRY |
Please comment or provide details below to improve the information on Mary Lack.
| 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.