| Capital City Vision Pc | |
|
1865 W Grand River Ave, Okemos, MI 48864-1840 | |
| (517) 349-2393 | |
| (517) 349-3751 |
| Full Name | Capital City Vision Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1865 W Grand River Ave, Okemos, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871761965 | NPI | - | NPPES |
| 1017331 | Medicaid | MI | |
| 200000002532 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901003644 (Michigan) | Primary |
| Provider Name | Colleen Patricia Phillips |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841266525 PECOS PAC ID: 2365462397 Enrollment ID: I20051207000120 |
| Mailing Address | Practice Location Address |
|---|---|
| Capital City Vision Pc 1865 W Grand River Ave, Okemos, MI 48864-1840 Ph: (517) 349-2393 | Capital City Vision Pc 1865 W Grand River Ave, Okemos, MI 48864-1840 Ph: (517) 349-2393 |
Deltavision Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2333 Jolly Rd, Okemos, MI 48864 Phone: 517-381-2000 Fax: 517-381-2006 | |
James E. Budge, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5100 Marsh Rd Ste H, Okemos, MI 48864 Phone: 517-349-0150 Fax: 517-349-0157 | |
Dr. Terri A Wolf, D.O. Optometrist Medicare: Medicare Enrolled Practice Location: 1669 Hamilton Rd, Suite 200, Okemos, MI 48864 Phone: 517-349-4743 Fax: 517-349-0096 | |
Ellen Mary Dohr, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2333 Jolly Rd, Okemos, MI 48864 Phone: 517-381-2000 Fax: 517-381-2006 | |
Diana Stewart, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2333 Jolly Rd, Okemos, MI 48864 Phone: 517-381-2000 | |
Mrs. Jennifer Mckinnon, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1982 W Grand River Ave, Okemos, MI 48864 Phone: 517-349-0784 | |
Dr. Natasha Nacole Potts, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5110 Times Square Pl, Okemos, MI 48864 Phone: 517-381-8314 Fax: 517-381-8328 |