Stanley Chase Grandon, MD | |
15212 Michigan Ave, Dearborn, MI 48126-3497 | |
(313) 582-8856 | |
(313) 582-8265 |
Full Name | Stanley Chase Grandon |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 15212 Michigan Ave, Dearborn, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013956556 | NPI | - | NPPES |
1382517 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | SG030076 (Michigan) | Primary |
Entity Name | Associated Eye Physicians Of Dearborn Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386711547 PECOS PAC ID: 5799732533 Enrollment ID: O20050405000219 |
Mailing Address | Practice Location Address |
---|---|
Stanley Chase Grandon, MD 15212 Michigan Ave, Dearborn, MI 48126-3497 Ph: (313) 582-8856 | Stanley Chase Grandon, MD 15212 Michigan Ave, Dearborn, MI 48126-3497 Ph: (313) 582-8856 |
Dr. Kyle Welburn, DO Ophthalmology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Dr. Asheesh Tewari, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 25230 Michigan Ave, Dearborn, MI 48124 Phone: 134-412-2273 Fax: 313-441-2241 | |
Donald C Fiander, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 25325 Ford Rd, Suite 200, Dearborn, MI 48128 Phone: 313-357-3006 Fax: 313-724-2455 | |
John Denis Roarty, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 22731 Newman, Suite 245, Dearborn, MI 48124 Phone: 313-561-1777 Fax: 313-561-8044 | |
James Matthew Todaro, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 | |
Dr. Paul Anthony Zlojutro, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000 |