Brent Ronald Mittelstaedt (NPI# 1679751358, PAC ID# 9739447582) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1679751358 |
| PAC ID by PECOS | 9739447582 |
| Professional Enrollment ID | I20190521002784 |
| Full Name | Brent Ronald Mittelstaedt |
| Organization Legal Name | MASSACHUSETTS EYE ASSOCIATES PC |
| Address |
19 Village Square Chelmsford MA 01824-2712 |
| Phone Number | 9784547701 |
| Gender | M |
| Medical School | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
| Graduation Year | 2007 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 3476512625 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220063 | LOWELL GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 19 Village Square, Chelmsford, MA 01824-2712 | 9784547701 | MASSACHUSETTS EYE ASSOCIATES PC |
| 500 Clark Rd, Tewksbury, MA 01876-1639 | 9782565600 | MASSACHUSETTS EYE ASSOCIATES PC |
| Organization Legal Name | MASSACHUSETTS EYE ASSOCIATES PC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison B Callahan | Ophthalmology | Massachusetts Eye Associates PC | 500 Clark Rd, Tewksbury, MA 01876-1639 |
| David Yi | Ophthalmology | Massachusetts Eye Associates PC | 19 Village Square, Chelmsford, MA 01824-2712 |
| Elias Reichel | Ophthalmology | Massachusetts Eye Associates PC | 19 Village Square, Chelmsford, MA 01824-2712 |
| Cecily E. Hamill | Ophthalmology | Massachusetts Eye Associates PC | 19 Village Square, Chelmsford, MA 01824-2712 |
| James Kim | Ophthalmology | Massachusetts Eye Associates PC | 19 Village Square, Chelmsford, MA 01824-2712 |
| Vivienne Kong | Optometry | Massachusetts Eye Associates PC | 19 Village Square, Chelmsford, MA 01824-2712 |
| John B Constantine | Ophthalmology | Massachusetts Eye Associates PC | 19 Village Square, Chelmsford, MA 01824-2712 |
| Jennifer H Calnan | Optometry | Massachusetts Eye Associates PC | 19 Village Square, Chelmsford, MA 01824-2712 |
| Jenna M Willard | Optometry | Massachusetts Eye Associates PC | 19 Village Square, Chelmsford, MA 01824-2712 |
| Glen A Bolliger | Ophthalmology | Massachusetts Eye Associates PC | 19 Village Square, Chelmsford, MA 01824-2712 |
| Street Address |
19 VILLAGE SQUARE |
| City | CHELMSFORD |
| State | MA |
| Zip | 01824-2712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Yi | Ophthalmology | Massachusetts Eye Associates PC | 19 Village Square, Chelmsford, MA 01824-2712 |
| Elias Reichel | Ophthalmology | Massachusetts Eye Associates PC | 19 Village Square, Chelmsford, MA 01824-2712 |
| Cecily E. Hamill | Ophthalmology | Massachusetts Eye Associates PC | 19 Village Square, Chelmsford, MA 01824-2712 |
| James Kim | Ophthalmology | Massachusetts Eye Associates PC | 19 Village Square, Chelmsford, MA 01824-2712 |
| Vivienne Kong | Optometry | Massachusetts Eye Associates PC | 19 Village Square, Chelmsford, MA 01824-2712 |
| John B Constantine | Ophthalmology | Massachusetts Eye Associates PC | 19 Village Square, Chelmsford, MA 01824-2712 |
| Jennifer H Calnan | Optometry | Massachusetts Eye Associates PC | 19 Village Square, Chelmsford, MA 01824-2712 |
| Jenna M Willard | Optometry | Massachusetts Eye Associates PC | 19 Village Square, Chelmsford, MA 01824-2712 |
| Glen A Bolliger | Ophthalmology | Massachusetts Eye Associates PC | 19 Village Square, Chelmsford, MA 01824-2712 |
| Bruce W Bunker | Optometry | Massachusetts Eye Associates PC | 19 Village Square, Chelmsford, MA 01824-2712 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katelyn A Scagnelli | Nurse Practitioner | Medical Healthcare Specialists,p.c. | 4 Courthouse Lane No, 9 Specialists PC, Chelmsford, MA 01824 |
| Normand A Gingras | Clinical Social Worker | 1 Olde N Rd, Suite 4, Chelmsford, MA 01824-1453 | |
| Doris M. Sherburne | Clinical Social Worker | 1 Olde N Rd, Suite 104, Chelmsford, MA 01824-1453 | |
| Susan N Hollis | Clinical Social Worker | 1 Olde N Rd, Suite 104, Chelmsford, MA 01824-1453 | |
| Kerri Skikne | Nurse Practitioner | Urgent Help Chelmsford PC | 45 Drum Hill Rd, Chelmsford, MA 01824-1503 |
| William F Petrone | Emergency Medicine | Urgent Help Chelmsford PC | 45 Drum Hill Rd, Chelmsford, MA 01824-1503 |
| Christina L Williams | Physician Assistant | Urgent Help Chelmsford PC | 45 Drum Hill Rd, Chelmsford, MA 01824-1503 |
| Julieta Maria Perez | Nurse Practitioner | Urgent Help Chelmsford PC | 45 Drum Hill Rd, Chelmsford, MA 01824-1503 |
| Richard W Renner | Physician Assistant | Urgent Help Chelmsford PC | 45 Drum Hill Rd, Chelmsford, MA 01824-1503 |
| Conor Lyons | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 67 Parkhurst Rd, Unit 3, Chelmsford, MA 01824-1518 |
| Find all physicians in zip 01824 | |||
| City | CHELMSFORD |
| Zip Code | 01824 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | CHELMSFORD + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Brent Ronald Mittelstaedt.
| 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.