Mark A Simon (NPI# 1821060013, PAC ID# 7911190905) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1821060013 |
| PAC ID by PECOS | 7911190905 |
| Professional Enrollment ID | I20101022000482 |
| Full Name | Mark A Simon |
| Organization Legal Name | WEST WICHITA FAMILY OPTOMETRISTS |
| Address |
318 N Main Goddard KS 67052-0732 |
| Phone Number | 3167942228 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0749181584 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 318 N Main, Goddard, KS 67052-0732 | 3167942228 | WEST WICHITA FAMILY OPTOMETRISTS |
| 1202 W Maple St, Wichita, KS 67213-3916 | 3162623716 | WEST WICHITA FAMILY OPTOMETRISTS |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 76% | |
| 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 | WEST WICHITA FAMILY OPTOMETRISTS |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicklaus James Richmond | Optometry | West Wichita Family Optometrists | 318 N Main, Goddard, KS 67052-0732 |
| Ryan Emrick | Optometry | West Wichita Family Optometrists | 1202 W Maple St, Wichita, KS 67213-3916 |
| Emily Jean Becker | Optometry | West Wichita Family Optometrists | 318 N Main, Goddard, KS 67052-0732 |
| Eric W Lamp | Optometry | West Wichita Family Optometrists | 318 N Main, Goddard, KS 67052-0732 |
| James D Herndon | Optometry | West Wichita Family Optometrists | 318 N Main, Goddard, KS 67052-0732 |
| Steven J Schwartz | Optometry | West Wichita Family Optometrists | 1202 W Maple St, Wichita, KS 67213-3916 |
| Charles W Kissling | Optometry | West Wichita Family Optometrists | 1202 W Maple St, Wichita, KS 67213-3916 |
| Street Address |
318 N MAIN |
| City | GODDARD |
| State | KS |
| Zip | 67052-0732 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicklaus James Richmond | Optometry | West Wichita Family Optometrists | 318 N Main, Goddard, KS 67052-0732 |
| Emily Jean Becker | Optometry | West Wichita Family Optometrists | 318 N Main, Goddard, KS 67052-0732 |
| Eric W Lamp | Optometry | West Wichita Family Optometrists | 318 N Main, Goddard, KS 67052-0732 |
| James D Herndon | Optometry | West Wichita Family Optometrists | 318 N Main, Goddard, KS 67052-0732 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Lynn Lee | Clinical Social Worker | 101 W 1st St, Larry Lee Lcsw, Goodard, KS 67052-5216 | |
| Amanda K Harter | Physical Therapy | Harter Physical Therapy LLC | 19931 W Kellogg Dr A, Goddard, KS 67052-8864 |
| Gabe J Harter | Physical Therapy | Harter Physical Therapy LLC | 19931 W Kellogg Dr A, Goddard, KS 67052-8864 |
| Jana L Weber | Physical Therapy | Harter Physical Therapy LLC | 19931 W Kellogg Dr A, Goddard, KS 67052-8864 |
| Katie B Mcclellan | Physical Therapy | Harter Physical Therapy LLC | 19931 W Kellogg Dr A, Goddard, KS 67052-8864 |
| Stanley G Chapman | Physical Therapy | Harter Physical Therapy LLC | 19931 W Kellogg Dr A, Goddard, KS 67052-8864 |
| James O Vrana Jr. | Chiropractic | 219 N Main St, Goddard, KS 67052-8893 | |
| Jamie J Arnold | Chiropractic | 228 N Main St, Goddard, KS 67052-8894 | |
| Kristin B Freed | Occupational Therapy | Accucaretx Inc | 1400 S 183rd St, Dove Estates, Goddard, KS 67052-9357 |
| Janet L Korte | Physical Therapy | Accucaretx Inc | 1400 S 183rd St, Goddard, KS 67052-9357 |
| Find all physicians in zip 67052 | |||
| City | GODDARD |
| Zip Code | 67052 |
| Specialty | OPTOMETRY |
| City + Specialty | GODDARD + OPTOMETRY |
Please comment or provide details below to improve the information on Mark A Simon.
| 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.