Johanna Marie Mauk (NPI# 1720439102, PAC ID# 8123311313) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1720439102 |
| PAC ID by PECOS | 8123311313 |
| Professional Enrollment ID | I20160726001327 |
| Full Name | Johanna Marie Mauk |
| Organization Legal Name | GAYLORD EYE CARE CENTER INC |
| Address |
211 N Bridge St Bellaire MI 49615-9589 |
| Phone Number | 2315336283 |
| Gender | F |
| Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
| Graduation Year | 2016 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0749310720 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 211 N Bridge St, Bellaire, MI 49615-9589 | 2315336283 | GAYLORD EYE CARE CENTER INC |
| 102 E Main St, Boyne City, MI 49712-1336 | 2315826704 | GAYLORD EYE CARE CENTER INC |
| Organization Legal Name | GAYLORD EYE CARE CENTER INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Slezak | Optometry | Gaylord Eye Care Center Inc | 829 W Main St E, Gaylord Eye Care Center, Gaylord, MI 49735-1998 |
| Lindsey R Wynkoop | Optometry | Gaylord Eye Care Center Inc | 102 E Main St, Boyne City, MI 49712-1336 |
| Nathan R Slezak | Optometry | Gaylord Eye Care Center Inc | 102 E Main St, Boyne City, MI 49712-1336 |
| Ronald L Mead | Optometry | Gaylord Eye Care Center Inc | 829 W Main St E, Gaylord Eye Care Center, Gaylord, MI 49735-1998 |
| Peter J Oppermann | Optometry | Gaylord Eye Care Center Inc | 829 W Main St E, Gaylord Eye Care Center, Gaylord, MI 49735-1998 |
| Street Address |
211 N BRIDGE ST |
| City | BELLAIRE |
| State | MI |
| Zip | 49615-9589 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith J Moody | Internal Medicine | East Jordan Family Health Center | 4955s M 88 Hwy, Bellaire, MI 49615-9082 |
| Peter H Viall | Family Medicine | Sound Inpatient Physicians-michigan Pllc | 4543 S M 88 Hwy, Meadow Brook Medical Care Facility, Bellaire, MI 49615-9109 |
| Dale D Owen | Psychiatry | North Country Community Mental Health | 203 E Cayuga St, Bellaire, MI 49615-9180 |
| Adam W Schwarz | Chiropractic | Inspire Health Chiropractic PC | 219 N Bridge St, Bellaire, MI 49615-9589 |
| Kathryn S Hoyt | Chiropractic | Inspire Health Chiropractic PC | 219 N Bridge St, Bellaire, MI 49615-9589 |
| City | BELLAIRE |
| Zip Code | 49615 |
| Specialty | OPTOMETRY |
| City + Specialty | BELLAIRE + OPTOMETRY |
Please comment or provide details below to improve the information on Johanna Marie Mauk.
| 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.