Tyler J Mazur (NPI# 1932683281, PAC ID# 9537497375) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1932683281 |
| PAC ID by PECOS | 9537497375 |
| Professional Enrollment ID | I20190819000778 |
| Full Name | Tyler J Mazur |
| Organization Legal Name | EYE AND VISION CLINICS, S.C. |
| Address |
301 N Broadway De Pere WI 54115-2557 |
| Phone Number | 9203367700 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7911965165 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 301 N Broadway, De Pere, WI 54115-2557 | 9203367700 | EYE AND VISION CLINICS, S.C. |
| Organization Legal Name | EYE AND VISION CLINICS, S.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Dufeck | Optometry | Eye and Vision Clinics, S.c. | 301 N Broadway, De Pere, WI 54115-2557 |
| Matthew L Nelson | Optometry | Eye and Vision Clinics, S.c. | 301 N Broadway, De Pere, WI 54115-2557 |
| Street Address |
301 N BROADWAY |
| City | DE PERE |
| State | WI |
| Zip | 54115-2557 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Dufeck | Optometry | Eye and Vision Clinics, S.c. | 301 N Broadway, De Pere, WI 54115-2557 |
| Matthew L Nelson | Optometry | Eye and Vision Clinics, S.c. | 301 N Broadway, De Pere, WI 54115-2557 |
| Craig D Mehlhoff | Optometry | Grays Harbor Vision Clinic, Inc. | 301 N Broadway, Aberdeen, WA 98520-3933 |
| Scott T Berken | Optometry | Grays Harbor Vision Clinic, Inc. | 301 N Broadway, Aberdeen, WA 98520-3933 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cory D Madison | Chiropractic | 1251 Scheuring Rd, Suite A, De Pere, WI 54115-1003 | |
| Michael David Harkins | Chiropractic | 1251 Scheuring Rd A, De Pere, WI 54115-1003 | |
| Frances Stahl Ballo | Dermatology | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| David E Bertler | Dermatology | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| Beth Schroth-seiler | Physician Assistant | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| Bridget M Kilbride | Physician Assistant | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| Kenneth J Pechman | Dermatology | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| David M Kuphal | Physician Assistant | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| Kurt S Holst | Physician Assistant | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| John S Pujals | Dermatology | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| Find all physicians in zip 54115 | |||
| City | DE PERE |
| Zip Code | 54115 |
| Specialty | OPTOMETRY |
| City + Specialty | DE PERE + OPTOMETRY |
Please comment or provide details below to improve the information on Tyler J Mazur.
| 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.