Eaton Rapids Eye Care Pc | |
136 S Main St, Eaton Rapids, MI 48827-1068 | |
(517) 663-2020 | |
(517) 663-5290 |
Full Name | Eaton Rapids Eye Care Pc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 136 S Main St, Eaton Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861611626 | NPI | - | NPPES |
200000010064 | Other | MI | PHP |
945189927 | Medicaid | MI | |
200000008893 | Other | MI | PHP |
900B311120 | Other | MI | BCBSM |
945189945 | Medicaid | MI | |
900B311120 | Other | MI | BCN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Kyle R Booher |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144320771 PECOS PAC ID: 0143320036 Enrollment ID: I20070706000224 |
Provider Name | Nicole Sparks |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942684709 PECOS PAC ID: 1456651850 Enrollment ID: I20151207001993 |
Mailing Address | Practice Location Address |
---|---|
Eaton Rapids Eye Care Pc 136 S Main St, Eaton Rapids, MI 48827-1068 Ph: (517) 663-2020 | Eaton Rapids Eye Care Pc 136 S Main St, Eaton Rapids, MI 48827-1068 Ph: (517) 663-2020 |
Dr. Kyle Robert Booher, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 136 S Main St, Eaton Rapids, MI 48827 Phone: 517-663-2020 | |
Dr. Daniel N Wrubel, D.O. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 136 S Main St, Eaton Rapids, MI 48827 Phone: 517-663-2020 Fax: 517-663-5290 | |
Dr. Nicole Sparks, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 136 S Main St, Eaton Rapids, MI 48827 Phone: 517-663-2020 | |
Ms. Tara Jane Nathaniel, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 136 S Main St, Eaton Rapids, MI 48827 Phone: 517-663-2020 |