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Physician Compare National (NPI:1437259678)

HEALTHCARE PROVIDER: FORREST BATES MESSERSCHMIDT 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 1437259678
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5890843122
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090424000498
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MESSERSCHMIDT
Individual professional last name
Provider First Name FORREST
Individual professional first name
Provider Middle Name B
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Individual professional's medical school
Graduation Year 1988
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 8800 GLACIER HWY
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 118
Group Practice or individual's line 2 address
City JUNEAU
Group Practice or individual's city
State AK
Group Practice or individual's state
Zip Code 998018079
Group Practice or individual's zip code (9 digits when available)
Phone Number 9077891855
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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