John T Shank (NPI# 1538296215, PAC ID# 7517054489) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1538296215 |
| PAC ID by PECOS | 7517054489 |
| Professional Enrollment ID | I20071025000108 |
| Full Name | John T Shank |
| Organization Legal Name | EYECARE EXCELLENCE PC |
| Address |
3450 E Rezanof Dr Kodiak AK 99615-6953 |
| Phone Number | 9074865504 |
| Gender | M |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1971 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8729175096 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3450 E Rezanof Dr, Kodiak, AK 99615-6953 | 9074865504 | EYECARE EXCELLENCE PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | EYECARE EXCELLENCE PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Justin Holdgrafer | Optometry | Eyecare Excellence PC | 3450 E Rezanof Dr, Kodiak, AK 99615-6953 |
| Desiree Alexis Wheeler | Optometry | Eyecare Excellence PC | 3450 E Rezanof Dr, Kodiak, AK 99615-6953 |
| Street Address |
3450 E REZANOF DR |
| City | KODIAK |
| State | AK |
| Zip | 99615-6953 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Justin Holdgrafer | Optometry | Eyecare Excellence PC | 3450 E Rezanof Dr, Kodiak, AK 99615-6953 |
| Desiree Alexis Wheeler | Optometry | Eyecare Excellence PC | 3450 E Rezanof Dr, Kodiak, AK 99615-6953 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerimiah L Myers | Optometry | 214 W Rezanof Dr, Suite 1, Kodiak, AK 99615-6044 | |
| Kevin Creelman | General Practice | 104 Ctr Ave, Suite 100, Kodiak, AK 99615-6393 | |
| John M Weaver | Clinical Social Worker | Providence Health and Services Washington | 717 E Rezanof Dr, Kodiak, AK 99615-6416 |
| Welby N Jensen | Psychiatry | Providence Health and Services Washington | 717 E Rezanof Dr, Kodiak, AK 99615-6416 |
| Rae Jean Blaschka | Nurse Practitioner | Kodiak Island Medical Associates | 1818 E Rezanof Dr, Kodiak, AK 99615-6505 |
| Mark E Withrow | General Practice | Kodiak Island Medical Associates | 1818 E Rezanof Dr, Kodiak, AK 99615-6505 |
| Carol L Juergens | Internal Medicine | Kodiak Island Medical Associates | 1818 E Rezanof Dr, Kodiak, AK 99615-6505 |
| Laura M Creighton | Chiropractic | 814 E Rezanof Dr, Kodiak, AK 99615-6599 | |
| Janet Abadir | General Surgery | Providence Health and Services Washington | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 |
| Melissa K Witteveen | Physician Assistant | Kodiak Island Healthcare Foundation | 1911 E Rezanof Dr, Kodiak, AK 99615-6602 |
| Find all physicians in zip 99615 | |||
| City | KODIAK |
| Zip Code | 99615 |
| Specialty | OPTOMETRY |
| City + Specialty | KODIAK + OPTOMETRY |
Please comment or provide details below to improve the information on John T Shank.
| 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.