Eyes Optometry Pllc | |
221 S Bridge St Grand Ledge MI 48837-1526 | |
(989) 640-0360 | |
Not Available |
Full Name | Eyes Optometry Pllc |
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Speciality | Clinic/Center |
Location | 221 S Bridge St, Grand Ledge, Michigan |
Authorized Official Name and Position | Roxanne Rottiers (OPTOMETRIST) |
Authorized Official Contact | 9896400390 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eyes Optometry Pllc 5820 E Mount Hope Hwy Grand Ledge MI 48837-9459 Ph: (989) 640-0360 | Eyes Optometry Pllc 221 S Bridge St Grand Ledge MI 48837-1526 Ph: (989) 640-0360 |
NPI Number | 1952876054 |
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Provider Enumeration Date | 10/04/2018 |
Last Update Date | 04/04/2019 |
Medicare PECOS PAC ID | 6103168430 |
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Medicare Enrollment ID | O20190507000394 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952876054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Roxanne Rottiers |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205212131 PECOS PAC ID: 2264746932 Enrollment ID: I20150810000527 |
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