Dietrich Fellner (NPI# 1922097179, PAC ID# 8921902925) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1922097179 |
| PAC ID by PECOS | 8921902925 |
| Professional Enrollment ID | I20031121000270 |
| Full Name | Dietrich Fellner |
| Organization Legal Name | THE EYE SPECIALISTS LTD |
| Address |
813 Independence Blvd Virginia Beach VA 23455-6004 |
| Phone Number | 8044909091 |
| Gender | M |
| Credential | MD |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 3577464718 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490046 | SENTARA LEIGH HOSPITAL |
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| 490057 | SENTARA VIRGINIA BEACH GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 813 Independence Blvd, Virginia Beach, VA 23455-6004 | 8044909091 | THE EYE SPECIALISTS LTD |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| 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% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | THE EYE SPECIALISTS LTD |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Cook | Optometry | The Eye Specialists Ltd | 813 Independence Blvd, Virginia Beach, VA 23455-6004 |
| David J Domachowski | Optometry | The Eye Specialists Ltd | 813 Independence Blvd, Virginia Beach, VA 23455-6004 |
| Street Address |
813 INDEPENDENCE BLVD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip | 23455-6004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Cook | Optometry | The Eye Specialists Ltd | 813 Independence Blvd, Virginia Beach, VA 23455-6004 |
| Lori S Palcic | Nurse Practitioner | Tidewater Physicians Multispecialty Group, PC | 813 Independence Blvd, Suite 3l, Virginia Beach, VA 23455-6004 |
| David J Domachowski | Optometry | The Eye Specialists Ltd | 813 Independence Blvd, Virginia Beach, VA 23455-6004 |
| Michael V Moro | General Practice | Independence Family Medicine | 813 Independence Blvd, Virginia Beach, VA 23455-6004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Florisa S Singson | Family Medicine | 4501 N Witch Duck Rd, Suite B, Virginia Beach, VA 23455 | |
| Catherine I Bowers | Registered Dietitian Or Nutrition Professional | 2501 Windy Rd, Virginia Beach, VA 23455-1532 | |
| Meredith Constance Galt | Physician Assistant | Sentara Medical Group | 2017 Pleasure House Rd, Virginia Beach, VA 23455-2709 |
| Jamie Ducharme | Psychologist, Clinical | 2005 Pleasure House Rd, Virginia Beach, VA 23455-2709 | |
| Sam Waltos | Family Medicine | Sentara Medical Group | 2017 Pleasure House Rd, Virginia Beach, VA 23455-2709 |
| Samurdhi J Roberts | Physician Assistant | Sentara Medical Group | 2017 Pleasure House Rd, Virginia Beach, VA 23455-2709 |
| Leah A Stewart | Nurse Practitioner | Sentara Medical Group | 2017 Pleasure House Rd, Virginia Beach, VA 23455-2709 |
| Thomas J Morgan | Chiropractic | 4837 Shore Dr, Virginia Beach, VA 23455-2714 | |
| Carly Schuler Swift | Chiropractic | 4640 Shore Dr, Suite 106, Virginia Beach, VA 23455-2859 | |
| Mark Scott | Chiropractic | 1801 Pleasure House Rd, Suite 105, Virginia Beach, VA 23455-2990 | |
| Find all physicians in zip 23455 | |||
| City | VIRGINIA BEACH |
| Zip Code | 23455 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | VIRGINIA BEACH + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Dietrich Fellner.
| 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.