Kristan C Sparks (NPI# 1174723332, PAC ID# 7618938374) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1174723332 |
| PAC ID by PECOS | 7618938374 |
| Professional Enrollment ID | I20041029000149 |
| Full Name | Kristan C Sparks |
| Organization Legal Name | PARKWAY EYECARE PC |
| Address |
524 N State St Shelley ID 83274-1154 |
| Phone Number | 2083575733 |
| Gender | M |
| Credential | OD |
| Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
| Graduation Year | 1980 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3274594932 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 320 S Woodruff Ave, Idaho Falls, ID 83401-4329 | 2085244552 | PARKWAY EYECARE PC |
| 524 N State St, Shelley, ID 83274-1154 | 2083575733 | PARKWAY EYECARE PC |
| Organization Legal Name | PARKWAY EYECARE PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan G Kohler | Optometry | Parkway Eyecare PC | 524 N State St, Shelley, ID 83274-1154 |
| Street Address |
524 N STATE ST |
| City | SHELLEY |
| State | ID |
| Zip | 83274-1154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan G Kohler | Optometry | Parkway Eyecare PC | 524 N State St, Shelley, ID 83274-1154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall Charles Searle | Chiropractic | 120 N Emerson Ave, Shelley, ID 83274-1105 | |
| Brennan T Williams | Chiropractic | Lifetime Wellness Chiropractic Pllc | 528 N State St, Shelley, ID 83274-1154 |
| Jordan D Keck | Chiropractic | Lifetime Wellness Chiropractic Pllc | 528 N State St, Shelley, ID 83274-1154 |
| Max Barney | Nurse Practitioner | Mvh Bmc LLC | 210 S Emerson Ave, Shelley, ID 83274-1229 |
| Paul Beckett | Family Medicine | Mvh Bmc LLC | 210 S Emerson Ave, Shelley, ID 83274-1229 |
| Guss R Grimmett | Nurse Practitioner | Mvh Bmc LLC | 210 S Emerson Ave, Shelley, ID 83274-1229 |
| Dennis S Radford | Optometry | 357 W Fir St, Shelley, ID 83274-1456 | |
| Renee Angela Weber | Physical Therapy | Wright Physical Therapy LLC | 650 N State St, Suite 1, Shelley, ID 83274-4900 |
| William Brett Arnell | Physical Therapy | Wright Physical Therapy LLC | 650 N State St, Suite 1, Shelley, ID 83274-4900 |
| City | SHELLEY |
| Zip Code | 83274 |
| Specialty | OPTOMETRY |
| City + Specialty | SHELLEY + OPTOMETRY |
Please comment or provide details below to improve the information on Kristan C Sparks.
| 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.