| Nikita S Jaber, OD | |
|
644 Fulton St W Ste C, Grand Rapids, MI 49504-5309 | |
| (616) 465-5503 | |
| (616) 777-5221 |
| Full Name | Nikita S Jaber |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 644 Fulton St W Ste C, 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 |
|---|---|---|---|
| 1861015489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC5783 (Florida) | Secondary |
| 152W00000X | Optometrist | 4901005488 (Michigan) | Primary |
| Provider Name | Clear Sky Holdings Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407542053 PECOS PAC ID: 7810355906 Enrollment ID: O20230622000217 |
| Mailing Address | Practice Location Address |
|---|---|
| Nikita S Jaber, OD 644 Fulton St W Ste C, Grand Rapids, MI 49504-5309 Ph: (616) 465-5503 | Nikita S Jaber, OD 644 Fulton St W Ste C, Grand Rapids, MI 49504-5309 Ph: (616) 465-5503 |
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 | |
Cherry Health - School Linked Vision Program Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 Sheldon Blvd Se, Grand Rapids, MI 49503 Phone: 616-776-2263 | |
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 |