Advanced Eyecare Professionals | |
915 W Green St, Suite 101, Hastings, MI 49058-1724 | |
(269) 945-3866 | |
Not Available |
Full Name | Advanced Eyecare Professionals |
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Type | Facility |
Speciality | Ophthalmology |
Location | 915 W Green St, Hastings, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396832937 | NPI | - | NPPES |
102575680 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901004379 (Michigan) | Secondary |
152W00000X | Optometrist | 4901004439 (Michigan) | Secondary |
207W00000X | Ophthalmology | 4301047122 (Michigan) | Primary |
Provider Name | David D Harrell |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1902860661 PECOS PAC ID: 9931134145 Enrollment ID: I20050927000794 |
Provider Name | Chad J Jackson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1780772533 PECOS PAC ID: 8921025636 Enrollment ID: I20051102000147 |
Provider Name | Michael J Flohr |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1669564720 PECOS PAC ID: 3476652470 Enrollment ID: I20070615000175 |
Provider Name | Brian L Weller |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841477783 PECOS PAC ID: 8820155575 Enrollment ID: I20090324000461 |
Provider Name | Sarah Declarke |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1679189989 PECOS PAC ID: 9133534241 Enrollment ID: I20210224000329 |
Mailing Address | Practice Location Address |
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Advanced Eyecare Professionals 915 W Green St, Suite 101, Hastings, MI 49058-1723 Ph: (269) 945-3866 | Advanced Eyecare Professionals 915 W Green St, Suite 101, Hastings, MI 49058-1724 Ph: (269) 945-3866 |