| Dr Diana Lowry Koslowske, OD | |
|
511 Wilson Ave Nw, Suite G, Grand Rapids, MI 49534-7986 | |
| (616) 301-8663 | |
| (616) 301-2987 |
| Full Name | Dr Diana Lowry Koslowske |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 511 Wilson Ave Nw, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053306274 | NPI | - | NPPES |
| 203516664 | Other | MI | TAX ID |
| 900D115230 | Other | MI | BCBS OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901003577 (Michigan) | Primary |
| Provider Name | Belding Family Eyecare Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1639661069 PECOS PAC ID: 3274885512 Enrollment ID: O20181015001066 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Diana Lowry Koslowske, OD 511 Wilson Ave Nw, Suite G, Grand Rapids, MI 49534-7986 Ph: (616) 301-8663 | Dr Diana Lowry Koslowske, OD 511 Wilson Ave Nw, Suite G, Grand Rapids, MI 49534-7986 Ph: (616) 301-8663 |
Bruce L Bullion, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1960 28th St Se, Grand Rapids, MI 49508 Phone: 616-247-6677 Fax: 616-247-1254 | |
Modern Optics, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4228 29th St Se, Grand Rapids, MI 49512 Phone: 616-949-5860 | |
School Vision Program Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 Cherry St Se, Grand Rapids, MI 49503 Phone: 616-965-8200 Fax: 616-940-5366 | |
Mr. Anthony W Danko, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5429 Northland Dr, Grand Rapids, MI 49525 Phone: 616-365-7600 Fax: 616-365-8289 | |
Brittany Ann Darnley, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1000 E Paris Avenue Se, Ste 130, Grand Rapids, MI 49546 Phone: 616-949-2001 Fax: 646-949-8620 | |
Dr. Kiersten Coon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 144 Monroe Center St Nw, Grand Rapids, MI 49503 Phone: 616-459-0641 Fax: 616-459-0621 | |
Mary P Chelsky, O.D, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 100 Cherry St Se, Grand Rapids, MI 49503 Phone: 616-965-8200 Fax: 616-940-5334 |