| Dr Fredric Carl Devries, OD, FAAO | |
|
3050 Ivanrest Ave Sw, Grandville, MI 49418-1400 | |
| (616) 538-0150 | |
| (616) 538-3954 |
| Full Name | Dr Fredric Carl Devries |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 3050 Ivanrest Ave Sw, Grandville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407883416 | NPI | - | NPPES |
| 0D16540 | Medicaid | MI | |
| 0D16540 | Other | MI | PRIORITY HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901002219 (Michigan) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 4901002219 (Michigan) | Secondary |
| Provider Name | Dennis & David Company |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730153982 PECOS PAC ID: 8325936685 Enrollment ID: O20040308001279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fredric Carl Devries, OD, FAAO 2711 Byron Station Dr Sw, Byron Center, MI 49315-9458 Ph: (616) 583-0404 | Dr Fredric Carl Devries, OD, FAAO 3050 Ivanrest Ave Sw, Grandville, MI 49418-1400 Ph: (616) 538-0150 |
Makayla Jo Porter, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4763 Wilson Ave Sw Ste G&h, Grandville, MI 49418 Phone: 616-261-4811 | |
Scott F Browne, O.d., Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4542 Kenowa Ave Sw, Grandville, MI 49418 Phone: 616-667-9717 | |
Dr. Paige Neal, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4555 Wilson Ave Sw, Grandville, MI 49418 Phone: 616-249-8490 | |
Grandville Eye Care, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 3100 Wilson Ave Sw, Grandville, MI 49418 Phone: 616-534-8238 Fax: 616-534-4189 | |
Rx Optical Laboratories, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4555 Wilson Ave Sw, Grandville, MI 49418 Phone: 616-249-8490 Fax: 616-532-5748 | |
Dr. Calvin Daniel Ebels, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: Sears Optical, 3622 Rivertown Pkwy, Grandville, MI 49418 Phone: 616-257-0049 Fax: 616-257-0054 | |
Dr. Scott F Browne, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4542 Kenowa Ave Sw, Grandville, MI 49418 Phone: 616-667-9717 |