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Physician Compare National (NPI:1427430594)

HEALTHCARE PROVIDER: JONATHAN MICHAEL STARCHVILLE 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 1427430594
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4183938335
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20150731015129
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name STARCHVILLE
Individual professional last name
Provider First Name JONATHAN
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Individual professional's medical school
Graduation Year 2015
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 OAK CLIFF EYE CLINIC PLLC
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 1658554720
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 3
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 2520 N CENTRAL EXPY
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 200
Group Practice or individual's line 2 address
City RICHARDSON
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 750802050
Group Practice or individual's zip code (9 digits when available)
Phone Number 4698281203
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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