Cedar Run Eye Center, Pllc is a
Ophthalmology based in Traverse City, Michigan. Cedar Run Eye Center, Pllc is licensed to practice in Michigan (license number 4301048021) and their current practice location is
3830 W Front St, Traverse City, Michigan. It can be reached at their office (for appointments etc.) via phone at
(231) 929-3888.
NPI number for Cedar Run Eye Center, Pllc is 1518029909 and their current mailing address is 3830 W Front St, Traverse City, Michigan. Cedar Run Eye Center, Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1518029909.
Healthcare Provider's Profile
| Full Name | Cedar Run Eye Center, Pllc |
|---|
| Type | Facility |
|---|
| Speciality | Ophthalmology |
|---|
| Location | 3830 W Front St, Traverse City, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1518029909
- Provider Enumeration Date: 12/14/2006
- Last Update Date: 05/11/2015
Medical Identifiers
Medical identifiers for Cedar Run Eye Center, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518029909 | NPI | - | NPPES |
| 900001413 | Other | MI | PRIORITY - CREC |
| 900B86347001 | Other | MI | BCBSM |
| 180B86357 | Other | MI | BCBS TBH |
| 900B86347003 | Other | MI | BCBSM |
| 1134113517 | Other | MI | RAILROAD MEDICARE/CIZEK |
| 900B86347 | Other | MI | BCBS OPTOM GROUP |
| 943166469 | Medicaid | MI | |
| 943166487 | Medicaid | MI | |
| CN1586 | Other | MI | RAILROAD MEDICARE/CREC |
| 943166496 | Medicaid | MI | |
| 1020070001 | Other | MI | DMERC REGION B |
| 102022 | Other | MI | PREFERRED CHOICE |
| 1144214180 | Other | MI | RAILROAD MEDICARE/HANLEY |
| CG1308 | Other | MI | RAILROAD MEDICARE/TSC |
| 103164508 | Medicaid | MI | |
| 1497736102 | Other | MI | RAILROAD MEDICARE/HUMMEL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 4901003094 (Michigan) | Secondary |
| 152W00000X | Optometrist | 4901003086 (Michigan) | Secondary |
| 152W00000X | Optometrist | 4901004107 (Michigan) | Secondary |
| 207W00000X | Ophthalmology | 4301048021 (Michigan) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 4301048021 (Michigan) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cedar Run Eye Center, Pllc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Cedar Run Eye Center, Pllc
3830 W Front St,
Traverse City, MI 49684-8153
Ph: (231) 929-3888 | Cedar Run Eye Center, Pllc
3830 W Front St,
Traverse City, MI 49684-8153
Ph: (231) 929-3888 |
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