| Advanced Eye Care Of Grand Rapids, Plc | |
|
5258 Plainfield Ave Ne, Suite F, Grand Rapids, MI 49525-1092 | |
| (616) 361-2020 | |
| Not Available |
| Full Name | Advanced Eye Care Of Grand Rapids, Plc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5258 Plainfield Ave Ne, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629105788 | NPI | - | NPPES |
| 4834870 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4010004245 (Michigan) | Primary |
| Provider Name | Patrick G Holser |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558328526 PECOS PAC ID: 4082666201 Enrollment ID: I20050216000523 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Eye Care Of Grand Rapids, Plc 5258 Plainfield Ave Ne, Suite F, Grand Rapids, MI 49525-1092 Ph: () - | Advanced Eye Care Of Grand Rapids, Plc 5258 Plainfield Ave Ne, Suite F, Grand Rapids, MI 49525-1092 Ph: (616) 361-2020 |
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