Jennifer Blakemore, OD | |
10791 Belleville Rd, Van Buren Twp, MI 48111 | |
(734) 391-3080 | |
(734) 345-5901 |
Full Name | Jennifer Blakemore |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 10791 Belleville Rd, Van Buren Twp, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699267278 | NPI | - | NPPES |
1699267278 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901005135 (Michigan) | Primary |
Provider Name | Svs Vision Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194879023 PECOS PAC ID: 9931257110 Enrollment ID: O20090427000507 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Blakemore, OD 118 Cass Ave, Mount Clemens, MI 48043-2204 Ph: (586) 468-7370 | Jennifer Blakemore, OD 10791 Belleville Rd, Van Buren Twp, MI 48111 Ph: (734) 391-3080 |
Myeyedr Optometry Of Michigan, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10798 Belleville Rd, Van Buren Twp, MI 48111 Phone: 734-697-6671 Fax: 734-697-9332 | |
Dr. Vimal Sureshchandra Patel, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 10798 Belleville Rd, Van Buren Twp, MI 48111 Phone: 734-697-6671 Fax: 734-697-9332 | |
Dr. Axel E. Rivera, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 10791 Belleville Rd, Van Buren Twp, MI 48111 Phone: 734-391-3080 |