Robert Ray Baltierra, | |
44429 Ann Arbor Rd W, Plymouth, MI 48170-3907 | |
(734) 416-0348 | |
Not Available |
Full Name | Robert Ray Baltierra |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 7 Years |
Location | 44429 Ann Arbor Rd W, Plymouth, Michigan |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013442094 | NPI | - | NPPES |
0C97655 | Other | MI | BCBS |
1013442094 | Medicaid | MI | |
1497781868 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901005154 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Myeyedr Optometry Of Michigan, Llc | 7416288949 | 42 |
Provider Name | Rx Optical Laboratories Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497781868 PECOS PAC ID: 9335032267 Enrollment ID: O20040205000024 |
Provider Name | Myeyedr Optometry Of Michigan, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639723596 PECOS PAC ID: 7416288949 Enrollment ID: O20191014002048 |
Mailing Address | Practice Location Address |
---|---|
Robert Ray Baltierra, 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Robert Ray Baltierra, 44429 Ann Arbor Rd W, Plymouth, MI 48170-3907 Ph: (734) 416-0348 |
P-cor Llc Optometrist Medicare: Medicare Enrolled Practice Location: 40895 Ann Arbor Rd, Plymouth, MI 48170 Phone: 734-233-6300 | |
Dr. Andrew John Ealovega, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 217 W Sheldon, Plymouth, MI 48170 Phone: 734-453-4870 Fax: 734-453-2849 | |
Dr. Paul Walter Kenzie, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 108 N Main St, Plymouth, MI 48170 Phone: 734-453-8450 Fax: 734-453-6347 | |
Dr. James M Carney, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1358 S Main St, Plymouth, MI 48170 Phone: 734-453-6190 Fax: 734-453-4640 | |
Picard Family Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 670 S Main St, Plymouth, MI 48170 Phone: 734-446-6889 Fax: 734-259-0804 | |
Brian M Carney, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1358 S Main St, Plymouth, MI 48170 Phone: 734-453-6190 Fax: 734-453-4640 |