Dr Stacy L Davis, OD | |
6739 Fulton St E, Ste A-20, Ada, MI 49301-8138 | |
(616) 676-2015 | |
(616) 676-2011 |
Full Name | Dr Stacy L Davis |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 6739 Fulton St E, Ada, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891880548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901003961 (Michigan) | Primary |
Provider Name | Von Scott Hieneman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1760540363 PECOS PAC ID: 1456335728 Enrollment ID: I20040615000613 |
Mailing Address | Practice Location Address |
---|---|
Dr Stacy L Davis, OD 6739 Fulton St E, Ste A-20, Ada, MI 49301-8138 Ph: (616) 676-2015 | Dr Stacy L Davis, OD 6739 Fulton St E, Ste A-20, Ada, MI 49301-8138 Ph: (616) 676-2015 |
Village Family Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 7175 Headley St Se Ste 100, Ada, MI 49301 Phone: 616-271-0988 Fax: 616-271-0989 | |
Dr. Thomas P Reyburn, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 400 Ada Dr Se, Ada, MI 49301 Phone: 616-676-1283 Fax: 616-676-9133 | |
Dr. Heather Marie Jones, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7175 Headley St Se Ste 100, Ada, MI 49301 Phone: 616-271-0988 Fax: 616-271-0989 | |
Ada Vision Center Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 596 Ada Dr Se, Ada, MI 49301 Phone: 616-676-1283 Fax: 616-676-9133 | |
Dr. Von Scott Hieneman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6739 Fulton St E, Ste A-20, Ada, MI 49301 Phone: 616-676-2015 Fax: 616-676-2011 |