| Edward P Stack, MD | |
|
5300 Gateway Ctr, Flint, MI 48507-3930 | |
| (810) 720-9111 | |
| (810) 720-9119 |
| Full Name | Edward P Stack |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 35 Years |
| Location | 5300 Gateway Ctr, Flint, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801899885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 4301065179 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Michigan Vision Institute Pllc | 1658317748 | 6 |
| Entity Name | Michigan Vision Institute PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780746081 PECOS PAC ID: 1658317748 Enrollment ID: O20050629000285 |
| Entity Name | Macular Renewal Center PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407716574 PECOS PAC ID: 6709368491 Enrollment ID: O20260303001823 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward P Stack, MD 5300 Gateway Ctr, Flint, MI 48507-3930 Ph: (810) 720-9111 | Edward P Stack, MD 5300 Gateway Ctr, Flint, MI 48507-3930 Ph: (810) 720-9111 |
Dr. Steven Allen Boskovich, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1290 S Linden Rd, Flint, MI 48532 Phone: 810-732-6231 Fax: 810-732-0725 |
Dr. Aman Khaled Shukairy, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1160 S Linden Rd, Flint, MI 48532 Phone: 810-820-8230 Fax: 810-820-8937 |
Dr. David A Diskin, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4499 Town Center Pkwy, Flint, MI 48532 Phone: 810-733-7111 Fax: 810-733-7141 |
John A Waters, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5055 W Bristol Rd, Flint, MI 48507 Phone: 810-732-2272 Fax: 810-732-8470 |
Dr. Gary M Keoleian, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4499 Town Center Pkwy, Flint, MI 48532 Phone: 810-733-7111 Fax: 810-733-7141 |
Daniel Joseph Ryan, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1113 Villa Linde Ct, Flint, MI 48532 Phone: 810-733-1214 Fax: 810-733-3011 |
Robert Jay Zendler Ii, DO Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1335 S Linden Rd, Suite E, Flint, MI 48532 Phone: 810-733-5535 Fax: 810-733-1076 |