Kent A Kunkel (NPI# 1134272842, PAC ID# 9830255892) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1134272842 |
| PAC ID by PECOS | 9830255892 |
| Professional Enrollment ID | I20090227000281 |
| Full Name | Kent A Kunkel |
| Organization Legal Name | EYESITE-ILLINOIS VALLEY, LLC |
| Address |
215 Richard A Mautino Dr Spring Valley IL 61362-1144 |
| Phone Number | 8156645331 |
| Gender | M |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1991 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4284790247 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 215 Richard A Mautino Dr, Spring Valley, IL 61362-1144 | 8156645331 | EYESITE-ILLINOIS VALLEY, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | EYESITE-ILLINOIS VALLEY, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Mcnamara | Optometry | Eyesite-illinois Valley, LLC | 822 La Salle St, Ottawa, IL 61350-2066 |
| Beth A Kunkel | Optometry | Eyesite-illinois Valley, LLC | 925 Clinton St, Ottawa, IL 61350-2037 |
| Street Address |
215 RICHARD A MAUTINO DR |
| City | SPRING VALLEY |
| State | IL |
| Zip | 61362-1144 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Maschmann | Obstetrics/gynecology | St. Margarets Hospital | 600 E 1st St, Spring Valley, IL 61362-1512 |
| Nicole M Lovin | Nurse Practitioner | Epss North Region LLC | 600 E 1st St, Spring Valley, IL 61362-1512 |
| Michael Shin | Orthopedic Surgery | St. Margarets Hospital | 600 E 1st St, Spring Valley, IL 61362-1512 |
| Karen L Eggers | Nurse Practitioner | St. Margarets Hospital | 600 E 1st St, Spring Valley, IL 61362-1512 |
| Christian B Schwartz | Urology | Illinois Urologic Health Surgeons Sc | 600 E 1st St, Spring Valley, IL 61362-1512 |
| Brian R Pope | Emergency Medicine | Epss North Region LLC | 600 E 1st St, Spring Valley, IL 61362-1512 |
| Robert W Morrow Iii | Internal Medicine | St. Margarets Hospital | 600 E 1st St, Spring Valley, IL 61362-1512 |
| David F Vik | Emergency Medicine | Epss North Region LLC | 600 E 1st St, Spring Valley, IL 61362-1512 |
| Thaw Tun | Internal Medicine | Epss North Region LLC | 600 E 1st St, Spring Valley, IL 61362-1512 |
| David J Schlagheck | Family Medicine | St. Margarets Hospital | 600 E 1st St, Spring Valley, IL 61362-1512 |
| Find all physicians in zip 61362 | |||
| City | SPRING VALLEY |
| Zip Code | 61362 |
| Specialty | OPTOMETRY |
| City + Specialty | SPRING VALLEY + OPTOMETRY |
Please comment or provide details below to improve the information on Kent A Kunkel.
| 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.