Tatyana Igorevna Metelitsina (NPI# 1033365663, PAC ID# 7315102175) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1033365663 |
| PAC ID by PECOS | 7315102175 |
| Professional Enrollment ID | I20141219000419 |
| Full Name | Tatyana Igorevna Metelitsina |
| Organization Legal Name | EYE CARE SPECIALISTS LLC |
| Address |
679 Physicians Park Poplar Bluff MO 63901-3915 |
| Phone Number | 5732234233 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 0143117028 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260183 | SAINT FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 360 S Mt Auburn Rd, Cape Girardeau, MO 63703-4920 | 5733353577 | EYE CARE SPECIALISTS LLC |
| 1275 Cedar Court, Suite 1, Carbondale, IL 62901-5335 | 5733353577 | EYE CARE SPECIALISTS LLC |
| 679 Physicians Park, Poplar Bluff, MO 63901-3915 | 5732234233 | EYE CARE SPECIALISTS LLC |
| Organization Legal Name | EYE CARE SPECIALISTS LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley J Stuckenschneider | Ophthalmology | Eye Care Specialists LLC | 679 Physicians Park, Poplar Bluff, MO 63901-3915 |
| David J Westrich | Ophthalmology | Eye Care Specialists LLC | 360 S Mt Auburn Rd, Cape Girardeau, MO 63703-4920 |
| Thomas Krummenacher | Ophthalmology | Eye Care Specialists LLC | 64 Doctors Park, Cape Girardeau, MO 63703-4928 |
| John Reck Kinder | Ophthalmology | Eye Care Specialists LLC | 360 S Mt Auburn Rd, Cape Girardeau, MO 63703-4920 |
| Michael J Katich | Optometry | Eye Care Specialists LLC | 360 S Mt Auburn Rd, Cape Girardeau, MO 63703-4920 |
| Todd James Lumsden | Ophthalmology | Eye Care Specialists LLC | 64 Doctors Park, Cape Girardeau, MO 63703-4928 |
| Derrall S Parker | Ophthalmology | Eye Care Specialists LLC | 1130 Lone Oak Rd, Paducah, KY 42003-4525 |
| Byron A Santos Flores | Ophthalmology | Eye Care Specialists LLC | 64 Doctors Park, Cape Girardeau, MO 63703-4928 |
| Richard L Kies | Ophthalmology | Eye Care Specialists LLC | 360 S Mt Auburn Rd, Cape Girardeau, MO 63703-4920 |
| Street Address |
679 PHYSICIANS PARK |
| City | POPLAR BLUFF |
| State | MO |
| Zip | 63901-3915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley J Stuckenschneider | Ophthalmology | Eye Care Specialists LLC | 679 Physicians Park, Poplar Bluff, MO 63901-3915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia Marie Cisne | Nurse Practitioner | Poplar Bluff Emergency Physicians, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Savannah Coin | Nurse Practitioner | Poplar Bluff Emergency Physicians, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Hanumanth K Reddy | Cardiovascular Disease (cardiology) | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Alexandros Georgolios | Otolaryngology | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Michael J. Del Rio | Thoracic Surgery | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Perry Arthur Rathbun | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Silvia Pagoada Vallecillo | General Surgery | Butler Physician Services, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Mark W Clark | Certified Registered Nurse Anesthetist (crna) | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| James D Holden | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Timothy P Kordick | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Find all physicians in zip 63901 | |||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | POPLAR BLUFF + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Tatyana Igorevna Metelitsina.
| 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.