| Eaton Rapids Eye Care Pc | |
|
136 S Main St, Eaton Rapids, MI 48827-1068 | |
| (517) 663-2020 | |
| (517) 663-5290 |
| Full Name | Eaton Rapids Eye Care Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 136 S Main St, Eaton Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861611626 | NPI | - | NPPES |
| 200000010064 | Other | MI | PHP |
| 945189927 | Medicaid | MI | |
| 200000008893 | Other | MI | PHP |
| 900B311120 | Other | MI | BCBSM |
| 945189945 | Medicaid | MI | |
| 900B311120 | Other | MI | BCN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Kyle R Booher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144320771 PECOS PAC ID: 0143320036 Enrollment ID: I20070706000224 |
| Provider Name | Nicole Sparks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942684709 PECOS PAC ID: 1456651850 Enrollment ID: I20151207001993 |
| Mailing Address | Practice Location Address |
|---|---|
| Eaton Rapids Eye Care Pc 136 S Main St, Eaton Rapids, MI 48827-1068 Ph: (517) 663-2020 | Eaton Rapids Eye Care Pc 136 S Main St, Eaton Rapids, MI 48827-1068 Ph: (517) 663-2020 |
Dr. Kyle Robert Booher, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 136 S Main St, Eaton Rapids, MI 48827 Phone: 517-663-2020 | |
Dr. Daniel N Wrubel, D.O. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 136 S Main St, Eaton Rapids, MI 48827 Phone: 517-663-2020 Fax: 517-663-5290 | |
Dr. Nicole Sparks, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 136 S Main St, Eaton Rapids, MI 48827 Phone: 517-663-2020 | |
Ms. Tara Jane Nathaniel, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 136 S Main St, Eaton Rapids, MI 48827 Phone: 517-663-2020 |