| Bradley James Runyon, OD | |
|
830 W Michigan Ave, Marshall, MI 49068-1446 | |
| (269) 781-9822 | |
| (269) 781-9839 |
| Full Name | Bradley James Runyon |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 29 Years |
| Location | 830 W Michigan Ave, Marshall, Michigan |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013156124 | NPI | - | NPPES |
| 1013156124 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901004130 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gossage Eye Institute, Plc | 3779473228 | 3 |
| Provider Name | Gossage Eye Institute, Plc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285854000 PECOS PAC ID: 3779473228 Enrollment ID: O20040318000032 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley James Runyon, OD 830 W Michigan Ave, Marshall, MI 49068-1446 Ph: (269) 781-9822 | Bradley James Runyon, OD 830 W Michigan Ave, Marshall, MI 49068-1446 Ph: (269) 781-9822 |
Joanna M Deluco, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14915 W Michigan Ave, Marshall, MI 49068 Phone: 269-781-9863 Fax: 269-781-9864 | |
Dr. Joseph M Hibler, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15865 W Michigan Ave, Marshall, MI 49068 Phone: 269-781-6644 Fax: 269-781-0130 | |
Dr. Naiya Panchal, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 830 W Michigan Ave, Marshall, MI 49068 Phone: 269-781-9822 Fax: 269-781-3622 | |
Dr. James E Fletcher, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14915 W Michigan Ave, Marshall, MI 49068 Phone: 269-781-9863 | |
Dr. Patricia M Woznicki, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 830 W Michigan Ave, Marshall, MI 49068 Phone: 269-781-9822 Fax: 269-781-9839 | |
Joseph M Hibler Od Pc Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15865 W Michigan Ave, Marshall, MI 49068 Phone: 269-781-6644 Fax: 269-781-0130 |