| Family & Pediatric Eye Care Plc | |
|
144 Monroe Center, Grand Rapids, MI 49503-2802 | |
| (616) 459-0641 | |
| (616) 459-0621 |
| Full Name | Family & Pediatric Eye Care Plc |
|---|---|
| Type | Facility |
| Speciality | Optometrist - Pediatrics |
| Location | 144 Monroe Center, Grand 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 |
|---|---|---|---|
| 1417137084 | NPI | - | NPPES |
| 900D114840 | Other | MI | BCBS PIN # |
| U92856 | Other | MI | UPIN |
| 0P19680 | Other | MI | MEDICARE GROUP NUMBER |
| T33048 | Other | MI | UPIN |
| 4599036 | Medicaid | MI | |
| 900D114850 | Other | MI | BCBS PIN # |
| 5041964 | Medicaid | MI |
| Provider Name | Kiersten E Coon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033159348 PECOS PAC ID: 0749175099 Enrollment ID: I20040217000337 |
| Provider Name | Donald W Rademacher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124370366 PECOS PAC ID: 3072767722 Enrollment ID: I20130204000420 |
| Provider Name | Jordan N Kuipers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639459019 PECOS PAC ID: 7517102999 Enrollment ID: I20170329000140 |
| Provider Name | Allison Page Dickson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528547031 PECOS PAC ID: 2365791290 Enrollment ID: I20180824002610 |
| Provider Name | Justin Champion Ullrey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982263711 PECOS PAC ID: 0941535520 Enrollment ID: I20190718002656 |
| Mailing Address | Practice Location Address |
|---|---|
| Family & Pediatric Eye Care Plc 144 Monroe Ctr Nw, Grand Rapids, MI 49503-2802 Ph: (616) 459-0641 | Family & Pediatric Eye Care Plc 144 Monroe Center, Grand Rapids, MI 49503-2802 Ph: (616) 459-0641 |
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 |