Diana Pan (NPI# 1972891810, PAC ID# 9537339650) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1972891810 |
| PAC ID by PECOS | 9537339650 |
| Professional Enrollment ID | I20140911002010 |
| Full Name | Diana Pan |
| Organization Legal Name | SOUTHCENTER EYE CARE INC |
| Address |
301 Southcenter Mall Tukwila WA 98188-2810 |
| Phone Number | 2062432322 |
| Gender | F |
| Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
| Graduation Year | 2011 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7517185606 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 301 Southcenter Mall, Tukwila, WA 98188-2810 | 2062432322 | SOUTHCENTER EYE CARE INC |
| Organization Legal Name | SOUTHCENTER EYE CARE INC |
| Physicians | 1 |
| Street Address |
301 SOUTHCENTER MALL |
| City | TUKWILA |
| State | WA |
| Zip | 98188-2810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph L Dumovic | Chiropractic | 3480 S 152nd St, Tukwila, WA 98188-2142 | |
| Vernon H Kaczmarski | Chiropractic | 3459 S 152nd St, Tukwila, WA 98188-2176 | |
| Stephanie M Degroat | Clinical Social Worker | Cowlitz Indian Tribe | 15455 65th Ave S, Tukwila, WA 98188-2534 |
| Lynsey R Dearth | Clinical Social Worker | Cowlitz Indian Tribe | 15455 65th Ave S, Tukwila, WA 98188-2534 |
| Rosson W Wiebe | Nurse Practitioner | Cowlitz Indian Tribe | 15455 65th Ave S, Tukwila, WA 98188-2534 |
| Masha N Fry | Clinical Social Worker | Cowlitz Indian Tribe | 15455 65th Ave S, Tukwila, WA 98188-2534 |
| Amanda J Weigle | Clinical Social Worker | Cowlitz Indian Tribe | 15455 65th Ave S, Tukwila, WA 98188-2534 |
| Ken C Hwahn | Optometry | 416 Southcenter Mall, Tukwila, WA 98188-2811 | |
| Michael David Noble | Optometry | 407 Baker Blvd, Tukwila, WA 98188-2906 | |
| Weiqun Guo | Optometry | 381 Strander Blvd, Tukwila, WA 98188-2916 | |
| Find all physicians in zip 98188 | |||
| City | TUKWILA |
| Zip Code | 98188 |
| Specialty | OPTOMETRY |
| City + Specialty | TUKWILA + 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.