Dr Paul Walter Kenzie, OD | |
108 N Main St, Plymouth, MI 48170-1236 | |
(734) 453-8450 | |
(734) 453-6347 |
Full Name | Dr Paul Walter Kenzie |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 108 N Main St, Plymouth, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144396227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901002510 (Michigan) | Primary |
Provider Name | Paul Kenzie Od Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518958974 PECOS PAC ID: 8820142789 Enrollment ID: O20090812000614 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul Walter Kenzie, OD 108 N Main St, Plymouth, MI 48170-1236 Ph: (734) 453-8450 | Dr Paul Walter Kenzie, OD 108 N Main St, Plymouth, MI 48170-1236 Ph: (734) 453-8450 |
Robert Ray Baltierra, Optometrist Medicare: May Accept Medicare Assignments Practice Location: 44429 Ann Arbor Rd W, Plymouth, MI 48170 Phone: 734-416-0348 | |
P-cor Llc Optometrist Medicare: Medicare Enrolled Practice Location: 40895 Ann Arbor Rd, Plymouth, MI 48170 Phone: 734-233-6300 | |
Dr. Andrew John Ealovega, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 217 W Sheldon, Plymouth, MI 48170 Phone: 734-453-4870 Fax: 734-453-2849 | |
Dr. James M Carney, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1358 S Main St, Plymouth, MI 48170 Phone: 734-453-6190 Fax: 734-453-4640 | |
Picard Family Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 670 S Main St, Plymouth, MI 48170 Phone: 734-446-6889 Fax: 734-259-0804 | |
Brian M Carney, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1358 S Main St, Plymouth, MI 48170 Phone: 734-453-6190 Fax: 734-453-4640 |