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Physician Compare National (NPI:1225165905)

HEALTHCARE PROVIDER: ANGELINE MCLEAN OD

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

Individual Professional Information

NPI 1225165905
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0446439673
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110120000539
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MCLEAN
Individual professional last name
Provider First Name ANGELINE
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Individual professional's medical school
Graduation Year 2001
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 30 1ST ST SW
Group Practice or individual's line 1 address
City CARMEL
Group Practice or individual's city
State IN
Group Practice or individual's state
Zip Code 460321750
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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