Jordan L Marentette, OD | |
1000 E Paris Avenue Se, Ste 130, Grand Rapids, MI 49546-3680 | |
(616) 949-2001 | |
(616) 949-8620 |
Full Name | Jordan L Marentette |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1000 E Paris Avenue Se, Grand Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609514306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901005772 (Michigan) | Primary |
152W00000X | Optometrist | OPT.007036 (Ohio) | Secondary |
Provider Name | Cei Physicians Psc, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942296298 PECOS PAC ID: 0749186427 Enrollment ID: O20031211001059 |
Mailing Address | Practice Location Address |
---|---|
Jordan L Marentette, OD 1000 E Paris Avenue Se, Ste 130, Grand Rapids, MI 49546-3680 Ph: (616) 949-2001 | Jordan L Marentette, OD 1000 E Paris Avenue Se, Ste 130, Grand Rapids, MI 49546-3680 Ph: (616) 949-2001 |
Bruce L Bullion, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1960 28th St Se, Grand Rapids, MI 49508 Phone: 616-247-6677 Fax: 616-247-1254 | |
Modern Optics, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4228 29th St Se, Grand Rapids, MI 49512 Phone: 616-949-5860 | |
Mr. Anthony W Danko, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5429 Northland Dr, Grand Rapids, MI 49525 Phone: 616-365-7600 Fax: 616-365-8289 | |
Brittany Ann Darnley, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1000 E Paris Avenue Se, Ste 130, Grand Rapids, MI 49546 Phone: 616-949-2001 Fax: 646-949-8620 | |
Dr. Kiersten Coon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 144 Monroe Center St Nw, Grand Rapids, MI 49503 Phone: 616-459-0641 Fax: 616-459-0621 | |
Mary P Chelsky, O.D, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 100 Cherry St Se, Grand Rapids, MI 49503 Phone: 616-965-8200 Fax: 616-940-5334 |