Kristen K Dorman (NPI# 1609833110, PAC ID# 9638274814) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1609833110 |
| PAC ID by PECOS | 9638274814 |
| Professional Enrollment ID | I20070417000305 |
| Full Name | Kristen K Dorman |
| Organization Legal Name | SHOPKO STORES OPERATING CO LLC |
| Address |
1771 Wisconsin Ave Grafton WI 53024-2437 |
| Phone Number | 2623750016 |
| Gender | F |
| Credential | OD |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 1995 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0749292639 |
| Number of Group Practice Members | 138 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1771 Wisconsin Ave, Grafton, WI 53024-2437 | 2623750016 | SHOPKO STORES OPERATING CO LLC |
| 7401 Mineral Point Rd, Madison, WI 53717-1703 | 6088336622 | SHOPKO STORES OPERATING CO LLC |
| 10996 N Port Washington Rd, Mequon, WI 53092-5031 | 2622409870 | 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 |
| Kellye P Zaporski | Optometry | Shopko Stores Operating Co LLC | 701 S Church St, Watertown, WI 53094-6213 |
| 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 |
| Street Address |
1771 WISCONSIN AVE |
| City | GRAFTON |
| State | WI |
| Zip | 53024-2437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alisa Orel | Registered Dietitian Or Nutrition Professional | Aurora Advanced Healthcare Inc | 215 W Washington St, Grafton, WI 53024-1700 |
| Bennett J Pastika | Gastroenterology | Aurora Medical Group Inc | 215 Washington St, Grafton, WI 53024-1700 |
| Alexandra C Carley | Dermatology | Aurora Advanced Healthcare Inc | 215 W Washington St, Grafton, WI 53024-1700 |
| Norine T Nazareth | Internal Medicine | Aurora Advanced Healthcare Inc | 215 W Washington St, Grafton, WI 53024-1700 |
| Colleen J Reichel | Pediatric Medicine | Aurora Advanced Healthcare Inc | 215 W Washington St, Grafton, WI 53024-1700 |
| James R Yanke | Physician Assistant | Aurora Advanced Healthcare Inc | 215 W Washington St, Grafton, WI 53024-1700 |
| Charise L Kelm | Physical Therapy | Aurora Advanced Healthcare Inc | 215 W Washington St, Grafton, WI 53024-1700 |
| Sheri E Ramuta | Occupational Therapy | Aurora Advanced Healthcare Inc | 215 W Washington St, Grafton, WI 53024-1700 |
| Sameer K Sharma | Urology | Aurora Advanced Healthcare Inc | 215 W Washington St, Grafton, WI 53024-1700 |
| Thomas R Puetz | Gastroenterology | Aurora Advanced Healthcare Inc | 215 W Washington St, Grafton, WI 53024-1700 |
| Find all physicians in zip 53024 | |||
| City | GRAFTON |
| Zip Code | 53024 |
| Specialty | OPTOMETRY |
| City + Specialty | GRAFTON + OPTOMETRY |
Please comment or provide details below to improve the information on Kristen K Dorman.
| 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.