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Physician Compare National (NPI:1932647054)

HEALTHCARE PROVIDER: MICHAEL O'NEAL

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1932647054
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0941572531
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20170816003231
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name ONEAL
Individual professional last name
Provider First Name MICHAEL
Individual professional first name
Provider Middle Name A
Individual professional middle 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 2017
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 38 CENTRAL AVE NE
Group Practice or individual's line 1 address
City LE MARS
Group Practice or individual's city
State IA
Group Practice or individual's state
Zip Code 510313515
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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