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650 Linden St, Suite 5, Big Rapids, MI 49307 | |
(231) 796-0010 | |
(231) 796-2496 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 650 Linden St, Big 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 |
---|---|---|---|
1235230350 | NPI | - | NPPES |
180036284 | Other | MI | MEDICARE RAILROAD |
CG0293 | Other | MI | MEDICARE RAILROAD |
0E40038 | Other | MI | BCBSM - OPTOMETRISTS |
1235230350 | Other | MI | COMMERCIAL INSURERS |
0E41065 | Other | MI | BCBSM - OPHTHALMOLOGISTS |
1280290002 | Other | MI | MEDICARE NSC - HOWARD CITY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Julie A Boss |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1740392059 PECOS PAC ID: 2466426978 Enrollment ID: I20040820001015 |
Provider Name | Ralph P Crew |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1639281934 PECOS PAC ID: 5193799609 Enrollment ID: I20040820001026 |
Mailing Address | Practice Location Address |
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650 Linden St, Suite 5, Big Rapids, MI 49307-1880 Ph: (231) 796-0010 | 650 Linden St, Suite 5, Big Rapids, MI 49307 Ph: (231) 796-0010 |