| Goodrich Optical Inc | |
|
6425 S Pennsylvania Ave Ste 13, Lansing, MI 48911-5975 | |
| (517) 393-2660 | |
| (517) 393-1313 |
| Full Name | Goodrich Optical Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 6425 S Pennsylvania Ave Ste 13, Lansing, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811095680 | NPI | - | NPPES |
| 22-00278 | Other | MI | PHYSICIANS HEALTH PLAN |
| 22-70051 | Other | MI | PHP FAMILY CARE |
| 900C313260 | Other | MI | BLUE CROSS OF MICHIGAN |
| OP0850 | Other | MI | EYEMED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | David M Bosak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194988790 PECOS PAC ID: 8628146446 Enrollment ID: I20081007000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Goodrich Optical Inc 2450 Delhi Commerce Dr Ste 1, Holt, MI 48842-2193 Ph: (517) 393-2660 | Goodrich Optical Inc 6425 S Pennsylvania Ave Ste 13, Lansing, MI 48911-5975 Ph: (517) 393-2660 |
Jamie Marie Shay, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1515 Lake Lansing Rd Ste H, Lansing, MI 48912 Phone: 517-487-6511 Fax: 517-487-1331 | |
Dr. David Blair Whitney, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 340 E Edgewood Blvd, Lansing, MI 48911 Phone: 517-887-0015 Fax: 517-887-0233 | |
Paul R Kennedy, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2117 E Grand River Ave, Lansing, MI 48912 Phone: 517-485-2213 Fax: 517-485-2220 | |
See Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2945 Preyde Blvd, Lansing, MI 48912 Phone: 517-485-5566 Fax: 517-485-8934 | |
Lo Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1200 E Michigan Ave, Suite 110, Lansing, MI 48912 Phone: 517-364-5875 Fax: 517-364-5877 | |
Dr. Douglas Jack Ekholm, OD DOCTOR OF OPTOMET Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5417 W Saginaw Hwy, Care Of Wallace Opticians, Lansing, MI 48917 Phone: 517-323-4027 Fax: 517-323-1807 | |
Rx Optical Laboratories, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6001 W Saginaw Hwy, Lansing, MI 48917 Phone: 517-886-2888 |