| Ada Vision Center Pllc | |
|
596 Ada Dr Se, Ada, MI 49301-8465 | |
| (616) 676-1283 | |
| (616) 676-9133 |
| Full Name | Ada Vision Center Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 596 Ada Dr Se, Ada, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467479212 | NPI | - | NPPES |
| 4140369 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901002630 (Michigan) | Primary |
| Provider Name | Thomas P Reyburn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205973195 PECOS PAC ID: 1557364387 Enrollment ID: I20120625000654 |
| Mailing Address | Practice Location Address |
|---|---|
| Ada Vision Center Pllc 596 Ada Dr Se, Ada, MI 49301-8465 Ph: (616) 676-1283 | Ada Vision Center Pllc 596 Ada Dr Se, Ada, MI 49301-8465 Ph: (616) 676-1283 |
Heather Jones Od Llc Optometrist Medicare: Medicare Enrolled Practice Location: 7175 Headley St Se Ste 100, Ada, MI 49301 Phone: 616-271-0988 Fax: 616-271-0989 | |
Dr. Thomas P Reyburn, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 400 Ada Dr Se, Ada, MI 49301 Phone: 616-676-1283 Fax: 616-676-9133 | |
Dr. Heather Marie Jones, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 7175 Headley St Se Ste 100, Ada, MI 49301 Phone: 616-271-0988 Fax: 616-271-0989 | |
Dr. Von Scott Hieneman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6739 Fulton St E, Ste A-20, Ada, MI 49301 Phone: 616-676-2015 Fax: 616-676-2011 | |
Dr. Stacy L Davis, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6739 Fulton St E, Ste A-20, Ada, MI 49301 Phone: 616-676-2015 Fax: 616-676-2011 |