| Michigan Eye Care Provider Pllc | |
|
33080 Utica Rd, Fraser, MI 48026-2038 | |
| (586) 296-7250 | |
| (586) 296-7256 |
| Full Name | Michigan Eye Care Provider Pllc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 33080 Utica Rd, Fraser, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598151318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | James R Valice |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437144482 PECOS PAC ID: 7315929833 Enrollment ID: I20040607000941 |
| Provider Name | Daniel J Lin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538158514 PECOS PAC ID: 6709848310 Enrollment ID: I20041027000195 |
| Provider Name | Charles G Colombo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588660807 PECOS PAC ID: 0547257685 Enrollment ID: I20041215000346 |
| Provider Name | Scott W Barton |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588659593 PECOS PAC ID: 2769585355 Enrollment ID: I20070320000517 |
| Provider Name | Arlie R Vanderhoof |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790770816 PECOS PAC ID: 0345344263 Enrollment ID: I20070403000303 |
| Provider Name | Jason G Tuchowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851386981 PECOS PAC ID: 4688778509 Enrollment ID: I20070403000314 |
| Provider Name | David L Manzo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386648103 PECOS PAC ID: 7214009448 Enrollment ID: I20080703000492 |
| Provider Name | Patrick M Verb |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992715247 PECOS PAC ID: 2860557410 Enrollment ID: I20090213000202 |
| Provider Name | Kate Marie Vanderhoof |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275889446 PECOS PAC ID: 1254580830 Enrollment ID: I20120926000388 |
| Provider Name | Mahdi Basha |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396900379 PECOS PAC ID: 6608900485 Enrollment ID: I20121217000288 |
| Provider Name | Ryan Mustapha Jaber |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326314832 PECOS PAC ID: 7911290390 Enrollment ID: I20170602000378 |
| Provider Name | Roman I Krivochenitser |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336553874 PECOS PAC ID: 8325342439 Enrollment ID: I20180723000540 |
| Provider Name | Susan E Sunny |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508412065 PECOS PAC ID: 4486986197 Enrollment ID: I20191030001519 |
| Provider Name | Lucas Bonafede |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871975383 PECOS PAC ID: 2961793484 Enrollment ID: I20200608000604 |
| Provider Name | Bret Richard Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730704172 PECOS PAC ID: 0446672125 Enrollment ID: I20200625002209 |
| Provider Name | Matthew Nicholas Pieters |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871090795 PECOS PAC ID: 9739414566 Enrollment ID: I20220727002807 |
| Provider Name | Mortada Altwaij |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700562758 PECOS PAC ID: 6204296320 Enrollment ID: I20230720000973 |
| Provider Name | Rachel A Dandar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194284232 PECOS PAC ID: 6608107974 Enrollment ID: I20240815000980 |
| Provider Name | Yi Ling Dai |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346801578 PECOS PAC ID: 5890023709 Enrollment ID: I20240926003609 |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Eye Care Provider Pllc 33080 Utica Rd Ste B, Fraser, MI 48026-2038 Ph: (586) 296-7250 | Michigan Eye Care Provider Pllc 33080 Utica Rd, Fraser, MI 48026-2038 Ph: (586) 296-7250 |