Alpine Eye Care | |
350 W North St, Gaylord, MI 49735-1525 | |
(989) 732-6455 | |
(989) 732-1102 |
Full Name | Alpine Eye Care |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 350 W North St, Gaylord, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215065727 | NPI | - | NPPES |
180F910770 | Other | MI | BCBS OD |
1806920011 | Other | MI | BLUE CARE NETWORK |
3038315 | Medicaid | MI | |
180F910760 | Other | MI | BCBS MD |
CJ0562 | Other | MI | RAILROAD MEDICARE |
900F910770 | Other | MI | BLUE CARE NETWORK |
900F910770 | Other | MI | BCBS |
1806920011 | Other | MI | BCBS |
Provider Name | William R Shouldice |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275611246 PECOS PAC ID: 6800981374 Enrollment ID: I20070927000965 |
Provider Name | Michael L Habryl |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1437470325 PECOS PAC ID: 4587856562 Enrollment ID: I20101008000600 |
Provider Name | Jeffrey Kenneth Chaulk |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1710925334 PECOS PAC ID: 0749381895 Enrollment ID: I20101119000443 |
Provider Name | Brian Wade |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1306255187 PECOS PAC ID: 8224258637 Enrollment ID: I20141007002374 |
Provider Name | Roxanne Rottiers |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205212131 PECOS PAC ID: 2264746932 Enrollment ID: I20150810000527 |
Provider Name | Dan James St Aubin |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1699115675 PECOS PAC ID: 3971807355 Enrollment ID: I20170606002105 |
Provider Name | Peter Dunsmore Lawrence |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1346814613 PECOS PAC ID: 7416356282 Enrollment ID: I20210527000876 |
Provider Name | Kevin Bradley Lodewyk |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1255851952 PECOS PAC ID: 1850661059 Enrollment ID: I20220418001254 |
Mailing Address | Practice Location Address |
---|---|
Alpine Eye Care Po Box 1665, Gaylord, MI 49734-5665 Ph: (989) 732-6455 | Alpine Eye Care 350 W North St, Gaylord, MI 49735-1525 Ph: (989) 732-6455 |