Cedar Run Eye Center Optical is a medicare enrolled "Eyewear Supplier" provider in Traverse City, Michigan. Their current practice location is
3830 W Front St, Traverse City, Michigan. You can reach out to their office (for appointments etc.) via phone at
(231) 929-3888.
Cedar Run Eye Center Optical is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Cedar Run Eye Center Optical
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1215157367.
Healthcare Provider's Profile
Full Name | Cedar Run Eye Center Optical |
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Type | Facility |
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Speciality | Eyewear Supplier |
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Location | 3830 W Front St, Traverse City, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215157367
- Provider Enumeration Date: 04/30/2007
- Last Update Date: 11/30/2009
Medicare PECOS Information:
- PECOS PAC ID: 8527165000
- Enrollment ID: O20100930100408
Medical Identifiers
Medical identifiers for Cedar Run Eye Center Optical such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215157367 | NPI | - | NPPES |
180B86357 | Other | MI | BCBSM |
900B863470 | Other | MI | BCBSM |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | 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. Cedar Run Eye Center Optical is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Cedar Run Eye Center Optical Po Box 2335, Traverse City, MI 49685-2335 Ph: (231) 929-3888 | Cedar Run Eye Center Optical 3830 W Front St, Traverse City, MI 49684-8153 Ph: (231) 929-3888 |
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