| Dr Mark Collins Davis, OD | |
|
2820 E Beltline Ln Ne, Grand Rapids, MI 49525-9432 | |
| (616) 363-5413 | |
| (616) 363-4211 |
| Full Name | Dr Mark Collins Davis |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 2820 E Beltline Ln Ne, 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 |
|---|---|---|---|
| 1427108430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901002801 (Michigan) | Primary |
| Provider Name | Grand Rapids Eye Care 2820 PLLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053534040 PECOS PAC ID: 4688794647 Enrollment ID: O20110303000824 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Collins Davis, OD 2820 E Beltline Ln Ne, Grand Rapids, MI 49525-9432 Ph: (616) 363-5413 | Dr Mark Collins Davis, OD 2820 E Beltline Ln Ne, Grand Rapids, MI 49525-9432 Ph: (616) 363-5413 |
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 |
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 |
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: Not Enrolled in Medicare Practice Location: 100 Cherry St Se, Grand Rapids, MI 49503 Phone: 616-965-8200 Fax: 616-940-5334 |
Ashley Eve Kamann, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2860 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-363-8484 |
Felicia Slate, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2700 5 Mile Rd Ne Ste 102, Grand Rapids, MI 49525 Phone: 616-361-6612 Fax: 616-361-6690 |