Kristen Marie Fahey (NPI# 1992145270, PAC ID# 8426292657) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1992145270 |
| PAC ID by PECOS | 8426292657 |
| Professional Enrollment ID | I20130910000274 |
| Full Name | Kristen Marie Fahey |
| Organization Legal Name | BEN DOMIANO OPTICAL INCORPORATED |
| Address |
817 S Main St Old Forge PA 18518-1431 |
| Phone Number | 5704572020 |
| Gender | F |
| Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduation Year | 2013 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4082698899 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 817 S Main St, Old Forge, PA 18518-1431 | 5704572020 | BEN DOMIANO OPTICAL INCORPORATED |
| Organization Legal Name | BEN DOMIANO OPTICAL INCORPORATED |
| Physicians | 1 |
| Street Address |
817 S MAIN ST |
| City | OLD FORGE |
| State | PA |
| Zip | 18518-1431 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene John Chiavacci | Orthopedic Surgery | 730 S Main St, Old Forge, PA 18518-1459 | |
| Marianne J Santioni | Rheumatology | Marianne J. Santioni, D.o., PC | 821 S Main St, Suite 3, Old Forge, PA 18518-1497 |
| Michael A Jalowiec | Internal Medicine | 821 S Main St, Suite 4, Old Forge, PA 18518-1497 | |
| Michelle Gauntlett | Physician Assistant | Marianne J. Santioni, D.o., PC | 821 S Main St, Suite 3, Old Forge, PA 18518-1497 |
| David Joseph Chromey | Podiatry | 821 S Main St, Suite 2, Old Forge, PA 18518-1497 | |
| Anthony J Grasso | Physical Therapy | Physical Therapy Associates of North East Pennsylvania Inc | 501 S Main St, Old Forge, PA 18518-1541 |
| Bernard J Povanda | Physical Therapy | Physical Therapy Associates of North East Pennsylvania Inc | 501 S Main St, Old Forge, PA 18518-1541 |
| James E Richards | Physical Therapy | Physical Therapy Associates of North East Pennsylvania Inc | 501 S Main St, Old Forge, PA 18518-1541 |
| Renee Lenceski | Physical Therapy | Physical Therapy Associates of North East Pennsylvania Inc | 501 S Main St, Old Forge, PA 18518-1541 |
| Jeff Paone | Physical Therapy | Physical Therapy Associates of North East Pennsylvania Inc | 501 S Main St, Old Forge, PA 18518-1541 |
| Find all physicians in zip 18518 | |||
| City | OLD FORGE |
| Zip Code | 18518 |
| Specialty | OPTOMETRY |
| City + Specialty | OLD FORGE + OPTOMETRY |
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| 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.