| Dr Justin Champion Ullrey, OD | |
|
25 N Main St, Rockford, MI 49341-1281 | |
| (616) 866-3077 | |
| Not Available |
| Full Name | Dr Justin Champion Ullrey |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 25 N Main St, Rockford, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982263711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901005240 (Michigan) | Primary |
| Provider Name | Family & Pediatric Eye Care Plc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417137084 PECOS PAC ID: 3173550878 Enrollment ID: O20050725000863 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justin Champion Ullrey, OD 10502 Shaner Ave Ne, Rockford, MI 49341-8461 Ph: () - | Dr Justin Champion Ullrey, OD 25 N Main St, Rockford, MI 49341-1281 Ph: (616) 866-3077 |
Dr. Carl Louis Stites, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6840 Northway Dr Ne, Suite A, Rockford, MI 49341 Phone: 616-863-2020 | |
Dr. Erica L Touhill-watson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6790 Cannon Farms Dr Ne, Rockford, MI 49341 Phone: 616-481-3944 | |
Rx Optical Laboratories, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 507 E Division St, Rockford, MI 49341 Phone: 616-866-3933 | |
In Focus Eyecare Of Rockford Optometrist Medicare: Medicare Enrolled Practice Location: 25 N Main St, Rockford, MI 49341 Phone: 616-866-3077 Fax: 616-866-4408 | |
Dr. Andrew Fowle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 120 Marcell Dr Ne, Suite A, Rockford, MI 49341 Phone: 616-866-0140 | |
Dr. Theodore Francis Sees, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2745 10 Mile Rd Ne, Rockford, MI 49341 Phone: 616-951-7115 Fax: 616-951-7112 | |
Dr. Gary J Fowle, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 120 Marcell Dr Ne, Suite A, Rockford, MI 49341 Phone: 616-866-0140 Fax: 616-866-8694 |