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Physician Compare National (NPI:1750747283)

HEALTHCARE PROVIDER: SARAH RAE BYRD 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 1750747283
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5395035430
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20160602001076
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name BYRD
Individual professional last name
Provider First Name SARAH
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 INDIANA UNIVERSITY - SCHOOL 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 EYE PHYSICIANS OF ELIZABETHTOWN PSC
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 8729050695
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 1109 WOODLAND DR
Group Practice or individual's line 1 address
City ELIZABETHTOWN
Group Practice or individual's city
State KY
Group Practice or individual's state
Zip Code 427012749
Group Practice or individual's zip code (9 digits when available)
Phone Number 2707656066
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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