Mrs Suzanne R Maystead, OD | |
1311 E Bridge Street, Portland, MI 48875 | |
(517) 647-7515 | |
(517) 647-5445 |
Full Name | Mrs Suzanne R Maystead |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 1311 E Bridge Street, Portland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932187911 | NPI | - | NPPES |
200000002364 | Other | PHP | |
SM002704 | Other | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901SM002704 (Michigan) | Primary |
Provider Name | Krystal Kempf Eye Care Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649706847 PECOS PAC ID: 6204191067 Enrollment ID: O20180403000246 |
Mailing Address | Practice Location Address |
---|---|
Mrs Suzanne R Maystead, OD 1311 E Bridge Street, Portland, MI 48875 Ph: (517) 647-7515 | Mrs Suzanne R Maystead, OD 1311 E Bridge Street, Portland, MI 48875 Ph: (517) 647-7515 |
Dr. Randall John Riemer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 207 E Bridge St, Portland, MI 48875 Phone: 517-647-2020 | |
Suzanne R. Maystead O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1311 E Bridge St, Portland, MI 48875 Phone: 517-647-7515 Fax: 517-647-5445 | |
Krystal Kempf Eye Care Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1311 E Bridge St, Portland, MI 48875 Phone: 517-647-7515 Fax: 517-647-5445 | |
Riemer Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 207 E Bridge St, Portland, MI 48875 Phone: 517-647-2020 Fax: 517-647-7677 |