Physician Compare National (NPI:1336452234)

HEALTHCARE PROVIDER: VICTORIA CONSIDINE 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	1336452234
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769634278
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170113001317
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CONSIDINE
	Individual professional last name
Provider First Name	VICTORIA
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
	Individual professional's medical school
Graduation Year	2010
	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	146 ELM ST
	Group Practice or individual's line 1 address
Line 2 Street Address	EYES ON ELM
	Group Practice or individual's line 2 address
City	NEW CANAAN
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	068405406
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y