Jeffrey Darryl Irvin (NPI# 1013025683, PAC ID# 9931119468) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1013025683 |
| PAC ID by PECOS | 9931119468 |
| Professional Enrollment ID | I20060502000792 |
| Full Name | Jeffrey Darryl Irvin |
| Organization Legal Name | SOUTH GIBSON EYECARE ASSOCIATES, LLC |
| Address |
831 S 9th Ave Haubstadt IN 47639-8244 |
| Phone Number | 8126150277 |
| Gender | M |
| Credential | OD |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 2002 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2769657063 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 634 Cross Valley Cir, Evansville, IN 47710-5238 | 8124017777 | NORTHSIDE EYECARE ASSOCIATES, LLC |
| 831 S 9th Ave, Haubstadt, IN 47639-8244 | 8126150277 | SOUTH GIBSON EYECARE ASSOCIATES, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | SOUTH GIBSON EYECARE ASSOCIATES, LLC |
| Physicians | 1 |
| Street Address |
831 S 9TH AVE |
| City | HAUBSTADT |
| State | IN |
| Zip | 47639-8244 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Conner J Zuber | Physical Therapy | Prorehab Inc | 10294 S 150, Haubstadt, IN 47639-8017 |
| Timothy A Scheirer | Physical Therapy | Prorehab Inc | 10294 S 150, Haubstadt, IN 47639-8017 |
| Melissa A Stevens | Occupational Therapy | Prorehab Inc | 10294 S 150, Haubstadt, IN 47639-8017 |
| David E Utley | Family Medicine | St Marys Medical Group LLC | 835 S 9th Ave, Haubstadt, IN 47639-8244 |
| City | HAUBSTADT |
| Zip Code | 47639 |
| Specialty | OPTOMETRY |
| City + Specialty | HAUBSTADT + OPTOMETRY |
Please comment or provide details below to improve the information on Jeffrey Darryl Irvin.
| 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.