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Physician Compare National (NPI:1316297682)

HEALTHCARE PROVIDER: SPENCER FRANZ 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 1316297682
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1456509041
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120925000217
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name FRANZ
Individual professional last name
Provider First Name SPENCER
Individual professional first name
Provider Gender M
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 2012
Individual professional's medical school graduation year
Primary Specialty OPTOMETRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name TJK VISION LLC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 0143538892
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 2
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 201 W FOX ST
Group Practice or individual's line 1 address
City CARLSBAD
Group Practice or individual's city
State NM
Group Practice or individual's state
Zip Code 882205736
Group Practice or individual's zip code (9 digits when available)
Phone Number 5758853937
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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