Robert Dean Douglas, is a
Optometrist based in Ravenna, Michigan. Robert Dean Douglas is licensed to practice in Michigan (license number MI3937) and his current practice location is
12412 Stafford St, Ravenna, Michigan. He can be reached at his office (for appointments etc.) via phone at
(231) 853-6459.
NPI number for Robert Dean Douglas is 1861516239 and his current mailing address is Po Box 307, 12412 Stafford St, Ravenna, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861516239.
Healthcare Provider's Profile
Full Name | Robert Dean Douglas |
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Gender | Male |
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Speciality | Optometrist |
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Location | 12412 Stafford St, Ravenna, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861516239
- Provider Enumeration Date: 03/19/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Robert Dean Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861516239 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | MI3937 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Dean Douglas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Robert Dean Douglas, Po Box 307, 12412 Stafford St, Ravenna, MI 49451-0307 Ph: (231) 853-6459 | Robert Dean Douglas, 12412 Stafford St, Ravenna, MI 48451-0307 Ph: (231) 853-6459 |
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