| Aeg Michigan Professional Llc | |
|
1555 Brady St, Chesaning, MI 48616-1022 | |
| (989) 845-7050 | |
| (314) 741-4947 |
| Full Name | Aeg Michigan Professional Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1555 Brady St, Chesaning, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053032912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Autumn Kay Wicke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770552671 PECOS PAC ID: 1951329846 Enrollment ID: I20051110000301 |
| Provider Name | Leslie K Delemeester |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134145030 PECOS PAC ID: 6800956913 Enrollment ID: I20081119000620 |
| Provider Name | Theodore J Billy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861461766 PECOS PAC ID: 8224170899 Enrollment ID: I20100120000145 |
| Provider Name | David E Duryea |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679542633 PECOS PAC ID: 4284697442 Enrollment ID: I20100708000006 |
| Provider Name | John P Jacobi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437212560 PECOS PAC ID: 2163580119 Enrollment ID: I20110714000760 |
| Provider Name | Brett Arnold |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821404955 PECOS PAC ID: 3476770009 Enrollment ID: I20140805002672 |
| Provider Name | Amanda Lorencz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548824436 PECOS PAC ID: 8921335530 Enrollment ID: I20190805002992 |
| Provider Name | Kayla Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689297210 PECOS PAC ID: 6204252331 Enrollment ID: I20200819002104 |
| Mailing Address | Practice Location Address |
|---|---|
| Aeg Michigan Professional Llc 111 E 4th St Ste 440, Alton, IL 62002-6241 Ph: (618) 462-9818 | Aeg Michigan Professional Llc 1555 Brady St, Chesaning, MI 48616-1022 Ph: (989) 845-7050 |
Robert & William Hass Optometrists Professional Corp Optometrist Medicare: Medicare Enrolled Practice Location: 1180 W Broad St, Chesaning, MI 48616 Phone: 989-845-3835 Fax: 989-845-3982 | |
Advanced Eyecare & Contact Lens Center Optometrist Medicare: Medicare Enrolled Practice Location: 1555 Brady Road, Chesaning, MI 48616 Phone: 989-845-7050 Fax: 989-845-2036 | |
Advanced Eyecare & Contact Lens Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1555 Brady Road, Chesaning, MI 48616 Phone: 989-845-7050 Fax: 989-845-2036 | |
Dr. David Eric Duryea, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1555 Brady Road, Chesaning, MI 48616 Phone: 989-845-7050 Fax: 989-845-2036 | |
Dr. Autumn Kay Wicke, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1555 Brady Road, Chesaning, MI 48616 Phone: 989-845-7050 Fax: 989-845-2036 | |
Dr. Theodore James Billy, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1555 Brady Road, Chesaning, MI 48616 Phone: 989-845-7050 Fax: 989-845-2036 |