Kellye P Zaporski (NPI# 1134502982, PAC ID# 8921306077) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1134502982 |
| PAC ID by PECOS | 8921306077 |
| Professional Enrollment ID | I20160408000868 |
| Full Name | Kellye P Zaporski |
| Organization Legal Name | SHOPKO STORES OPERATING CO LLC |
| Address |
701 S Church St Watertown WI 53094-6213 |
| Phone Number | 9202611920 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0749292639 |
| Number of Group Practice Members | 138 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 701 S Church St, Watertown, WI 53094-6213 | 9202611920 | SHOPKO STORES OPERATING CO LLC |
| Organization Legal Name | SHOPKO STORES OPERATING CO LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor L Douglas | Optometry | Shopko Stores Operating Co LLC | 900 W Memorial Rd, Shopko Optical 123, Houghton, MI 44931-2481 |
| James D Mckell | Optometry | Shopko Stores Operating Co LLC | 955 N Main St, Spanish Fork, UT 84660-1150 |
| Kelly Rd Mccarthy | Optometry | Shopko Stores Operating Co LLC | 510 E Philip Ave, North Platte, NE 69101-5538 |
| Jodi A Bergstrom | Optometry | Shopko Stores Operating Co LLC | 801 W Central Entrance, Duluth, MN 55811-5468 |
| Theresa M Dellaert | Optometry | Shopko Stores Operating Co LLC | 255 John F Kennedy Rd, Dubuque, IA 52002-5313 |
| Karl T Jepson | Optometry | Shopko Stores Operating Co LLC | 510 E Phillip Ave, North Platte, NE 69101-5538 |
| Jared W Nelson | Optometry | Shopko Stores Operating Co LLC | 747 S Main St, Brigham City, UT 84302-3359 |
| Margaret A Wolan | Optometry | Shopko Stores Operating Co LLC | 7401 Mineral Point Rd, Madison, WI 53717-1703 |
| Robert P Todd | Optometry | Shopko Stores Operating Co LLC | 211 S 23rd St, Shopko Optical 4662, Plattsmouth, NE 68048-2903 |
| Brooke A Wiener | Optometry | Shopko Stores Operating Co LLC | 5630 St Croix Trail, North Branch, MN 55056 |
| Street Address |
701 S CHURCH ST |
| City | WATERTOWN |
| State | WI |
| Zip | 53094-6213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian C Adler | Optometry | Shopko Stores Operating Co LLC | 701 S Church St, Watertown, WI 53094-6213 |
| Penny Sue Iverson Ammeraal | Optometry | Shopko Stores Operating Co LLC | 701 S Church St, Watertown, WI 53094-6213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey C Fruendt | Chiropractic | Watertown Chiropractic Sc | 615 E Main St B, Watertown, WI 53094-3200 |
| Desiree Monik Herron | Optometry | Watertown Vision LLC | 1640 S Church St, Watertown, WI 53094-3405 |
| Leslie A Ofner | Clinical Social Worker | Family Resources Associates Inc | 1315 W Main St, Watertown, WI 53094-3564 |
| Amy C Middleton | Clinical Social Worker | Family Resources Associates Inc | 1315 W Main St, Watertown, WI 53094-3564 |
| Carol A Erdman | Clinical Social Worker | Family Resources Associates Inc | 1315 W Main St, Watertown, WI 53094-3564 |
| David A Byrne | Psychologist, Clinical | Family Resources Associates Inc | 1315 W Main St, Watertown, WI 53094-3564 |
| Edward A Dehnert | Clinical Social Worker | Family Resources Associates Inc | 1315 W Main St, Watertown, WI 53094-3564 |
| Teresa G Grimes | Physician Assistant | Family Resources Associates Inc | 1315 W Main St, Watertown, WI 53094-3564 |
| Roger J Klein | Psychologist, Clinical | Family Resources Associates Inc | 1315 W Main St, Watertown, WI 53094-3564 |
| Janet M Parker | Clinical Social Worker | Family Resources Associates Inc | 1315 W Main St, Watertown, WI 53094-3564 |
| Find all physicians in zip 53094 | |||
| City | WATERTOWN |
| Zip Code | 53094 |
| Specialty | OPTOMETRY |
| City + Specialty | WATERTOWN + OPTOMETRY |
Please comment or provide details below to improve the information on Kellye P Zaporski.
| 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.