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Physician Compare National (NPI:1205869450)

HEALTHCARE PROVIDER: CARL STANLEY PARTAIN O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1205869450
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5991987141
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110308001062
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name PARTAIN
Individual professional last name
Provider First Name CARL
Individual professional first name
Provider Middle Name S
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Individual professional's medical school
Graduation Year 1965
Individual professional's medical school graduation year
Primary Specialty OPTOMETRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 1233 N LEE HWY
Group Practice or individual's line 1 address
City LEXINGTON
Group Practice or individual's city
State VA
Group Practice or individual's state
Zip Code 244503307
Group Practice or individual's zip code (9 digits when available)
Phone Number 5404632611
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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