Jason Richard Diehl (NPI# 1003875147, PAC ID# 9931162476) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1003875147 |
| PAC ID by PECOS | 9931162476 |
| Professional Enrollment ID | I20041106000072 |
| Full Name | Jason Richard Diehl |
| Organization Legal Name | CLARKSON OPTOMETRY ILLINOIS PC |
| Address |
1025 Columbia Ctr Columbia IL 62236-2546 |
| Phone Number | 6182818611 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 2000 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7012292147 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1025 Columbia Ctr, Columbia, IL 62236-2546 | 6182818611 | CLARKSON OPTOMETRY ILLINOIS PC |
| Organization Legal Name | CLARKSON OPTOMETRY ILLINOIS PC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mindy Miller | Optometry | Clarkson Optometry Illinois PC | 2645 N Illinois St, Clarkson Eyecare, Swansea, IL 62226-2302 |
| Dana S Rozell | Optometry | Clarkson Optometry Illinois PC | 3405 Nameoki Rd A, Clarkson Eyecare, Granite City, IL 62040-3709 |
| Brett Sobieralski | Optometry | Clarkson Optometry Illinois PC | 10 Lincoln Hwy, Suite 101, Fairview Heights, IL 62208-2100 |
| Daniel A Wolf | Optometry | Clarkson Optometry Illinois PC | 103 Clintonian Plz, Breese, IL 62230-1501 |
| Jennifer Brave Rafati | Optometry | Clarkson Optometry Illinois PC | 2525 Green Mount Commons Dr, Suite 290, Belleville, IL 62221-6735 |
| Thomas J Johnson | Optometry | Clarkson Optometry Illinois PC | 1819 B Homer Adams Pkwy, Alton, IL 62002-5606 |
| Chad R Baker | Optometry | Clarkson Optometry Illinois PC | 6663 Edwardsville Crossing Dr B, Clarkson Eyecare, Edwardsville, IL 62025-2704 |
| Troy W Johnson | Optometry | Clarkson Optometry Illinois PC | 3000 Broadway St, Mount Vernon, IL 62864-2340 |
| Keith R Hamm | Optometry | Clarkson Optometry Illinois PC | 3248 Green Mount Crossing Dr, Shiloh, IL 62269-7284 |
| Becky L Rock | Optometry | Clarkson Optometry Illinois PC | 12603, 143 Clarkson Eyecare, Highland, IL 62249-1194 |
| Street Address |
1025 COLUMBIA CTR |
| City | COLUMBIA |
| State | IL |
| Zip | 62236-2546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Lewis | Optometry | Clarkson Optometry Illinois PC | 1025 Columbia Ctr, Columbia, IL 62236-2546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen Mcauliffe | Chiropractic | 109 Wedgewood Dr, Columbia, IL 62236-1016 | |
| Laurie R Mestdagh | Chiropractic | 1550 N Main St Unit A, Columbia, IL 62236-1070 | |
| Sarah Lynette Yates | Nurse Practitioner | Red Bud Regional Clinic Company LLC | 1000 Eleven S, Suite E, Columbia, IL 62236-1077 |
| Andrea N Thomas | Physician Assistant | Red Bud Regional Clinic Company LLC | 1000 Eleven S, Suite E, Columbia, IL 62236-1077 |
| Katherine E House | Nurse Practitioner | Orthopedic Associates, LLC | 1000 Eleven S, Suite 3c, Columbia, IL 62236-1077 |
| Angela L Tenholder | Oral Surgery | Synergy Therapeutics PC | 1000 Eleven S, Suite 3f, Columbia, IL 62236-1077 |
| Craig Schaefer | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1000 Eleven S, Suite 1b, Columbia, IL 62236-1078 |
| Jennifer Flick | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1000 Eleven S, Suite 1b, Columbia, IL 62236-1078 |
| Autumn C Gleich | Occupational Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1000 Eleven S, Suite 1b, Columbia, IL 62236-1078 |
| Jessica M Wachtel | Physician Assistant | Red Bud Clinic Corp | 1000 Eleven S, Suite 2f, Columbia, IL 62236-1079 |
| Find all physicians in zip 62236 | |||
| City | COLUMBIA |
| Zip Code | 62236 |
| Specialty | OPTOMETRY |
| City + Specialty | COLUMBIA + 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.