Dr Michael Wallace, OD | |
1379 Flushing Rd, Flushing, MI 48433-2262 | |
(810) 659-3135 | |
(810) 659-0024 |
Full Name | Dr Michael Wallace |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 38 Years |
Location | 1379 Flushing Rd, Flushing, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689615346 | NPI | - | NPPES |
944885903 | Medicaid | MI | |
900B514120 | Other | MI | BLUE CARE NETWORK |
2678599 | Medicaid | OH | |
900B566350 | Other | MI | BCBS OF MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901003070 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Flushing Vision Clinic Pc | 3375570641 | 2 |
Tanana Chiefs Conference | 9537050109 | 112 |
Provider Name | Flushing Vision Clinic Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295782720 PECOS PAC ID: 3375570641 Enrollment ID: O20050719000948 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Wallace, OD 1379 Flushing Rd, Flushing, MI 48433-2262 Ph: (810) 659-3135 | Dr Michael Wallace, OD 1379 Flushing Rd, Flushing, MI 48433-2262 Ph: (810) 659-3135 |
Flushing Optical Optometrist Medicare: Medicare Enrolled Practice Location: 105 S Cherry St, Flushing, MI 48433 Phone: 810-659-9181 Fax: 810-659-6811 | |
Flushing Vision Clinic Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1379 Flushing Rd, Flushing, MI 48433 Phone: 810-659-3135 Fax: 810-659-0024 | |
Howard Foote, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1379 Flushing Rd, Flushing, MI 48433 Phone: 810-659-3135 | |
Flushing Optical Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 105 S. Cherry Street, Flushing, MI 48433 Phone: 810-659-9181 Fax: 810-659-6811 | |
Breanna Renee Marshall, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1379 Flushing Rd, Flushing, MI 48433 Phone: 810-659-3135 Fax: 810-659-0024 |