| Kalamazoo Valley Eyecare | |
|
4855 W Centre Ave, Suite B, Portage, MI 49024-4686 | |
| (269) 375-3937 | |
| (269) 375-3938 |
| Full Name | Kalamazoo Valley Eyecare |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4855 W Centre Ave, Portage, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568758209 | NPI | - | NPPES |
| 1568758209 | Medicaid | MI | |
| 0C90390 | Other | MI | BCBS PIN |
| 200000030622 | Other | MI | PHP PROVIDER NUMBER |
| 0C90369 | Other | MI | BCBS PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901004197 (Michigan) | Primary |
| Provider Name | Marie Louise Fox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790773646 PECOS PAC ID: 7719889211 Enrollment ID: I20040124000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Kalamazoo Valley Eyecare 4855 W Centre Ave, Suite B, Portage, MI 49024-4686 Ph: (269) 375-3937 | Kalamazoo Valley Eyecare 4855 W Centre Ave, Suite B, Portage, MI 49024-4686 Ph: (269) 375-3937 |
Dr. Katie Lynne Sutter, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6101 Newport Rd Ste A, Portage, MI 49002 Phone: 269-382-6500 Fax: 269-382-2286 | |
Mr. David C Mcclintic, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6123 S Westnedge Ave, Portage, MI 49002 Phone: 269-327-7079 Fax: 269-327-7165 | |
Dr. Lynnette Raye Blostica, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3412 W Centre Ave, Portage, MI 49024 Phone: 269-329-5860 Fax: 269-329-5865 | |
David P Williams, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 410 E Centre Ave, Portage, MI 49002 Phone: 269-327-4454 Fax: 269-327-8717 | |
West Point Optical Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6650 S Westnedge Ave, Suite 232, Portage, MI 49024 Phone: 269-237-2881 | |
Dr. Steven S. Ellinger, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1612 E. Centre Ave., Portage, MI 49002 Phone: 269-329-1030 Fax: 269-329-0966 | |
Ferris R Standiford, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3412 W Centre Ave, Portage, MI 49024 Phone: 269-329-5870 Fax: 269-329-5865 |