Pinnacle Eye Group | |
3309 Quail Hollow Dr Ste E, Lambertville, MI 48144-8688 | |
(734) 854-3937 | |
(734) 854-5868 |
Full Name | Pinnacle Eye Group |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 3309 Quail Hollow Dr Ste E, Lambertville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053593715 | NPI | - | NPPES |
941931252 | Medicaid | MI | |
22-01112 | Other | MI | UNITED HEALTH CARE |
03157 | Other | MI | PARAMOUNT |
900E811650 | Other | MI | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901002-861 (Michigan) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | 4901002-2861 (Michigan) | Primary |
Provider Name | Robert C Layman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1699769836 PECOS PAC ID: 7719985407 Enrollment ID: I20071226000129 |
Provider Name | James D Hardie |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1164734125 PECOS PAC ID: 9436283074 Enrollment ID: I20100817001595 |
Provider Name | Holly A Hardie |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1679885669 PECOS PAC ID: 0042492308 Enrollment ID: I20140905001690 |
Provider Name | Ashley O'dwyer |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1639606700 PECOS PAC ID: 1052677945 Enrollment ID: I20171109000449 |
Provider Name | Jordan E Rogaliner |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1578239927 PECOS PAC ID: 8628476645 Enrollment ID: I20211006000271 |
Mailing Address | Practice Location Address |
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Pinnacle Eye Group 3309 Quail Hollow Dr Ste E, Lambertville, MI 48144-8688 Ph: (734) 854-3937 | Pinnacle Eye Group 3309 Quail Hollow Dr Ste E, Lambertville, MI 48144-8688 Ph: (734) 854-3937 |