| Lakeshore Eyecare Center Pc | |
|
2657 120th Ave, Holland, MI 49424-8692 | |
| (616) 395-0606 | |
| (616) 395-0077 |
| Full Name | Lakeshore Eyecare Center Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2657 120th Ave, Holland, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760668016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Rebecca Ann Jacquemin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366508822 PECOS PAC ID: 2668575879 Enrollment ID: I20070308000338 |
| Provider Name | Matthew Black |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124512447 PECOS PAC ID: 4284989674 Enrollment ID: I20180627000095 |
| Provider Name | William Scott Meengs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760977599 PECOS PAC ID: 6507115672 Enrollment ID: I20180822002957 |
| Provider Name | Maxwell Edward Rennaker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366934879 PECOS PAC ID: 9638402787 Enrollment ID: I20190605001769 |
| Provider Name | Jamie Bala |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477928612 PECOS PAC ID: 5890105167 Enrollment ID: I20201028001626 |
| Provider Name | Hannah Elizabeth Faupel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417693656 PECOS PAC ID: 8628458130 Enrollment ID: I20220630000323 |
| Provider Name | Gabrielle Gomez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538898929 PECOS PAC ID: 0840673018 Enrollment ID: I20220822000172 |
| Provider Name | Jordan Sadlak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710610183 PECOS PAC ID: 8022454305 Enrollment ID: I20240308001479 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Eyecare Center Pc Po Box 3272, Saginaw, MI 48605-3272 Ph: () - | Lakeshore Eyecare Center Pc 2657 120th Ave, Holland, MI 49424-8692 Ph: (616) 395-0606 |
Michael P Jacquemin, OD Optometrist Medicare: Medicare Enrolled Practice Location: 12659 Riley St, Holland, MI 49424 Phone: 616-399-1440 Fax: 616-399-2169 | |
Dr. Daniel Patrick Dunn, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2942 Pine Edge Ct, Holland, MI 49424 Phone: 616-393-0144 Fax: 616-393-0199 | |
Family Eyecare Of Holland Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 456 E 16th St, Suite 1, Holland, MI 49423 Phone: 616-395-2020 | |
Dr. Dirk Schrotenboer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11971 James St, Holland, MI 49424 Phone: 616-395-0606 Fax: 616-395-0070 | |
Dr. Tara Marie Oosterbaan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 999 Washington Ave, Holland, MI 49423 Phone: 616-396-2316 Fax: 616-396-0085 | |
Dr. Gerald Kolk, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 456 E 16th St, Suite 1, Holland, MI 49423 Phone: 616-395-2020 | |
Rx Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 590 E 16th St Ste 20, Holland, MI 49423 Phone: 616-928-9640 Fax: 616-928-9641 |