Trevor Caleb Conklin (NPI# 1649558321, PAC ID# 9830363845) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1649558321 |
PAC ID by PECOS | 9830363845 |
Professional Enrollment ID | I20120709000410 |
Full Name | Trevor Caleb Conklin |
Organization Legal Name | TECUMSEH EYE ASSOCIATES PLLC |
Address |
123 E Washington St Tecumseh OK 74873-3241 |
Phone Number | 4055986558 |
Gender | M |
Graduation Year | 2011 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 9133359516 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
100 E 45th St, Shawnee, OK 74804-1439 | 4052757676 | SHAWNEE EYE ASSOCIATES, PLLC |
123 E Washington St, Tecumseh, OK 74873-3241 | 4055986558 | TECUMSEH EYE ASSOCIATES PLLC |
Organization Legal Name | TECUMSEH EYE ASSOCIATES PLLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kyle K Karnish | Optometry | Tecumseh Eye Associates Pllc | 123 E Washington St, Tecumseh, OK 74873-3241 |
Street Address |
123 E WASHINGTON ST |
City | TECUMSEH |
State | OK |
Zip | 74873-3241 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kyle K Karnish | Optometry | Tecumseh Eye Associates Pllc | 123 E Washington St, Tecumseh, OK 74873-3241 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joe K Whitt | Physical Therapy | Jenmark LLC | 503 N Broadway St, Tecumseh Physical Therapy, Tecumseh, OK 74873-2017 |
Justin R Phillips | Chiropractic | 602 N Broadway St, Tecumseh, OK 74873-2020 | |
Wendy F Heller | Family Practice | Tecumseh Medical Clinic PC | 418 E Walnut St, Tecumseh, OK 74873-2200 |
City | TECUMSEH |
Zip Code | 74873 |
Specialty | OPTOMETRY |
City + Specialty | TECUMSEH + 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.