Daniel A Dudley, OD | |
2904 Division St, Saint Joseph, MI 49085-2437 | |
(269) 983-2020 | |
(269) 983-3651 |
Full Name | Daniel A Dudley |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 2904 Division St, Saint Joseph, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962539163 | NPI | - | NPPES |
1785860 | Medicaid | MI | |
900A165160 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901002802 (Michigan) | Primary |
Provider Name | Family Vision Associates P.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033302948 PECOS PAC ID: 4486773694 Enrollment ID: O20110512000745 |
Mailing Address | Practice Location Address |
---|---|
Daniel A Dudley, OD 2904 Division St, Saint Joseph, MI 49085-2437 Ph: (269) 983-2020 | Daniel A Dudley, OD 2904 Division St, Saint Joseph, MI 49085-2437 Ph: (269) 983-2020 |
Family Vision Associates P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 2904 Division St, Saint Joseph, MI 49085 Phone: 269-983-2020 | |
Steinhoff Optical, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 222 State St, Saint Joseph, MI 49085 Phone: 269-982-4237 Fax: 269-982-7364 | |
Mikaela Jo Betka, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2904 Division St, Saint Joseph, MI 49085 Phone: 269-983-2020 | |
Rx Optical Laboratories, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2008 Washington Ave, Saint Joseph, MI 49085 Phone: 269-983-1303 | |
Keralyn Totten, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2008 Washington Ave, Saint Joseph, MI 49085 Phone: 269-983-1303 Fax: 269-983-1306 | |
All Eyes Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2047 Niles Road, Saint Joseph, MI 49085 Phone: 269-983-3200 Fax: 269-983-4902 | |
Dr. Daniel James Van Elk, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2848 Niles Rd, Saint Joseph, MI 49085 Phone: 269-428-3300 Fax: 269-428-5005 |