Jordan Sadlak, | |
1982 W Grand River Ave, Okemos, MI 48864-1736 | |
(517) 349-0784 | |
Not Available |
Full Name | Jordan Sadlak |
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Gender | Male |
Speciality | Optometrist |
Location | 1982 W Grand River Ave, Okemos, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1710610183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 4901005633 (Michigan) | Primary |
Provider Name | Lakeshore Eyecare Center Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760668016 PECOS PAC ID: 1557424405 Enrollment ID: O20090120000507 |
Mailing Address | Practice Location Address |
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Jordan Sadlak, 1982 W Grand River Ave, Okemos, MI 48864-1736 Ph: () - | Jordan Sadlak, 1982 W Grand River Ave, Okemos, MI 48864-1736 Ph: (517) 349-0784 |
Deltavision Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2333 Jolly Rd, Okemos, MI 48864 Phone: 517-381-2000 Fax: 517-381-2006 | |
James E. Budge, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5100 Marsh Rd Ste H, Okemos, MI 48864 Phone: 517-349-0150 Fax: 517-349-0157 | |
Dr. Terri A Wolf, D.O. Optometrist Medicare: Medicare Enrolled Practice Location: 1669 Hamilton Rd, Suite 200, Okemos, MI 48864 Phone: 517-349-4743 Fax: 517-349-0096 | |
Ellen Mary Dohr, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2333 Jolly Rd, Okemos, MI 48864 Phone: 517-381-2000 Fax: 517-381-2006 | |
Diana Stewart, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2333 Jolly Rd, Okemos, MI 48864 Phone: 517-381-2000 | |
Mrs. Jennifer Mckinnon, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1982 W Grand River Ave, Okemos, MI 48864 Phone: 517-349-0784 | |
Dr. Natasha Nacole Potts, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5110 Times Square Pl, Okemos, MI 48864 Phone: 517-381-8314 Fax: 517-381-8328 |