Beaverton Family Eyecare is a
Optometrist based in Beaverton, Michigan. Beaverton Family Eyecare is licensed to practice in Michigan (license number 4901003085) and their current practice location is
334 N Ross, Beaverton, Michigan. It can be reached at their office (for appointments etc.) via phone at
(989) 435-2020.
NPI number for Beaverton Family Eyecare is 1477738961 and their current mailing address is 1520 B N Mcewan St, Clare, Michigan. Beaverton Family Eyecare
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1477738961.
Healthcare Provider's Profile
Full Name | Beaverton Family Eyecare |
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Type | Facility |
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Speciality | Optometrist |
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Location | 334 N Ross, Beaverton, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477738961
- Provider Enumeration Date: 01/03/2008
- Last Update Date: 04/03/2012
Medical Identifiers
Medical identifiers for Beaverton Family Eyecare such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477738961 | NPI | - | NPPES |
900A86500 | Other | MI | BC/BS |
1908862 | Medicaid | MI | |
410008233 | Other | MI | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 4901003085 (Michigan) | Primary |
332H00000X | Eyewear Supplier | 003085 (Michigan) | Secondary |
332H00000X | Eyewear Supplier | 004640 (Michigan) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Beaverton Family Eyecare is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Beaverton Family Eyecare 1520 B N Mcewan St, Clare, MI 48617 Ph: (989) 386-2020 | Beaverton Family Eyecare 334 N Ross, Beaverton, MI 48612 Ph: (989) 435-2020 |
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