Ethan Wright (NPI# 1659557171, PAC ID# 8820175037) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1659557171 |
| PAC ID by PECOS | 8820175037 |
| Professional Enrollment ID | I20080411000144 |
| Full Name | Ethan Wright |
| Organization Legal Name | KILGORE VISION CENTER |
| Address |
105 Sawgrass Pt Harrison AR 72601-3072 |
| Phone Number | 8707411910 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 0345278214 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040027 | BAXTER REGIONAL MEDICAL CENTER |
| 040017 | NORTH ARKANSAS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 105 Sawgrass Pt, Harrison, AR 72601-3072 | 8707411910 | KILGORE VISION CENTER |
| 2943 Hwy 62 W, Mountain Home, AR 72653-6535 | 8704244900337 | KILGORE VISION CENTER |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% |
| Organization Legal Name | KILGORE VISION CENTER |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kari L Priborsky | Optometry | Kilgore Vision Center | 105 Sawgrass Pt, Harrison, AR 72601-3072 |
| Kenneth M Kilgore | Ophthalmology | Kilgore Vision Center | 105 Sawgrass Pt, Harrison, AR 72601-3072 |
| Steven T Rae | Optometry | Kilgore Vision Center | 105 Sawgrass Pt, Harrison, AR 72601-3072 |
| Abraham Akel Jr. | Optometry | Kilgore Vision Center | 105 Sawgrass Pt, Harrison, AR 72601-3072 |
| David Paul Schwarz | Optometry | Kilgore Vision Center | 105 Sawgrass Pt, Harrison, AR 72601-3072 |
| Alice R Laule | Ophthalmology | Kilgore Vision Center | 105 Sawgrass Pt, Harrison, AR 72601-3072 |
| Street Address |
105 SAWGRASS PT |
| City | HARRISON |
| State | AR |
| Zip | 72601-3072 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kari L Priborsky | Optometry | Kilgore Vision Center | 105 Sawgrass Pt, Harrison, AR 72601-3072 |
| Kenneth M Kilgore | Ophthalmology | Kilgore Vision Center | 105 Sawgrass Pt, Harrison, AR 72601-3072 |
| Steven T Rae | Optometry | Kilgore Vision Center | 105 Sawgrass Pt, Harrison, AR 72601-3072 |
| Abraham Akel Jr. | Optometry | Kilgore Vision Center | 105 Sawgrass Pt, Harrison, AR 72601-3072 |
| David Paul Schwarz | Optometry | Kilgore Vision Center | 105 Sawgrass Pt, Harrison, AR 72601-3072 |
| Alice R Laule | Ophthalmology | Kilgore Vision Center | 105 Sawgrass Pt, Harrison, AR 72601-3072 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phyllis S Butler | Nurse Practitioner | 3319 Day Lily Lane, Harrison, AR 72601 | |
| Michael V Marvel | Chiropractic | 1428 H-2 Hwy 62 65 N, Harrison, AR 72601 | |
| Kevin T Jackson | Family Medicine | Washington Regional Medical System | 1420 Hwy 62 65 N, Crossroads Medical Clinic, Harrison, AR 72601-1959 |
| Shaun J Kahn | Chiropractic | 1428 H-2 Hwy 62-65 N, Harrison, AR 72601-1959 | |
| Amanda J Winford | Nurse Practitioner | Washington Regional Medical System | 1420 Hwy 62 65 N, Crossroads Medical Clinic, Harrison, AR 72601-1959 |
| Mark W Powell | Orthopedic Surgery | Advanced Orthopaedic Specialists, Plc | 1420 Hwy 62 65 N, Suite A, Harrison, AR 72601-1959 |
| Joshua David Linton | Physical Therapy | Serc Rehabilitation Partners LLC | 1409 Hwy 62 65 N 4, Serc Harrison, Harrison, AR 72601-1970 |
| Christopher Allen Carroll | Physical Therapy | Serc Rehabilitation Partners LLC | 1409 Hwy 62 65 N 4, Serc Harrison, Harrison, AR 72601-1970 |
| Hannah Elizabeth Bohl | Physical Therapy | Serc Rehabilitation Partners LLC | 1409 Hwy 62 65 N 4, Serc Harrison, Harrison, AR 72601-1970 |
| Lindsey Breanne Wade | Physical Therapy | Serc Rehabilitation Partners LLC | 1409 Hwy 62 65 N 4, Serc Harrison, Harrison, AR 72601-1970 |
| Find all physicians in zip 72601 | |||
| City | HARRISON |
| Zip Code | 72601 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | HARRISON + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Ethan Wright.
| 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.