Michael E Bennett (NPI# 1558473868, PAC ID# 7911804034) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1558473868 |
| PAC ID by PECOS | 7911804034 |
| Professional Enrollment ID | I20031217000386 |
| Full Name | Michael E Bennett |
| Organization Legal Name | GUTHRIE VISION SOURCE PC INC |
| Address |
110 E Harrison Ave Guthrie OK 73044-4839 |
| Phone Number | 4052824396 |
| Gender | M |
| Credential | OD |
| Graduation Year | 1985 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7416905237 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 110 E Harrison Ave, Guthrie, OK 73044-4839 | 4052824396 | GUTHRIE VISION SOURCE PC INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | GUTHRIE VISION SOURCE PC INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian A Padgham | Optometry | Guthrie Vision Source PC Inc | 110 E Harrison Ave, Guthrie, OK 73044-4839 |
| Street Address |
110 E HARRISON AVE |
| City | GUTHRIE |
| State | OK |
| Zip | 73044-4839 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian A Padgham | Optometry | Guthrie Vision Source PC Inc | 110 E Harrison Ave, Guthrie, OK 73044-4839 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terrill S Frazee | Chiropractic | 1809 S Division, Dr. Frazee Family Chiropractic Inc, Guthrie, OK 73044 | |
| Jignesh J Veragiwala | Family Medicine | Mercy Hospital Logan County, Inc | 200 S Academy Rd, Guthrie, OK 73044-1017 |
| Kenna S Mason | Nurse Practitioner | Mercy Hospital Logan County, Inc | 200 S Academy Rd, Guthrie, OK 73044-1017 |
| Christopher Jared Howard | Nurse Practitioner | Mercy Hospital Logan County, Inc | 200 S Academy Rd, Guthrie, OK 73044-1017 |
| Miranda V Cash | Nurse Practitioner | Mercy Hospital Logan County, Inc | 200 S Academy Rd, Guthrie, OK 73044-1017 |
| Debra Perdue | Certified Clinical Nurse Specialist (cns) | Mercy Hospital Logan County, Inc | 200 S Academy Rd, Guthrie, OK 73044-1017 |
| Alysha A Weatherholtz | Physician Assistant | Mercy Hospital Logan County, Inc | 200 S Academy Rd, Guthrie, OK 73044-1017 |
| Douglas Cook | Optometry | Guthrie Eye Care Clinic, Inc. | 2114 W Noble Ave, Guthrie, OK 73044-2116 |
| Lisa Cook | Optometry | Guthrie Eye Care Clinic, Inc. | 2114 W Noble Ave, Guthrie, OK 73044-2116 |
| Janet L Walker | Clinical Social Worker | 124 W Cleveland Ave, Guthrie, OK 73044-3128 | |
| Find all physicians in zip 73044 | |||
| City | GUTHRIE |
| Zip Code | 73044 |
| Specialty | OPTOMETRY |
| City + Specialty | GUTHRIE + OPTOMETRY |
Please comment or provide details below to improve the information on Michael E Bennett.
| 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.