John Vincent Rickman (NPI# 1760447239, PAC ID# 9739215344) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1760447239 |
PAC ID by PECOS | 9739215344 |
Professional Enrollment ID | I20100407000064 |
Full Name | John Vincent Rickman |
Address |
103 S Ctr St D Sublimity OR 97385-9101 |
Phone Number | 5037699181 |
Gender | M |
Medical School | PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY |
Graduation Year | 1984 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
103 S Ctr St D, Sublimity, OR 97385-9101 | 5037699181 |
Street Address |
103 S CTR ST D |
City | SUBLIMITY |
State | OR |
Zip | 97385-9101 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jackie Burman-solgan | Nurse Practitioner | Santiam Memorial Hospital | 114 Se Church St, Sublimity, OR 97385-9714 |
City | SUBLIMITY |
Zip Code | 97385 |
Specialty | OPTOMETRY |
City + Specialty | SUBLIMITY + 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.