| Townline Family Pc | |
|
882 M 72 Nw, Kalkaska, MI 49646-8787 | |
| (231) 258-9781 | |
| (231) 258-0616 |
| Full Name | Townline Family Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 882 M 72 Nw, Kalkaska, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679968044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901004199 (Michigan) | Primary |
| Provider Name | Clayton G Skrzypczak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649264995 PECOS PAC ID: 0648170548 Enrollment ID: I20040108001031 |
| Provider Name | Kathleen Marie Leahy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104483437 PECOS PAC ID: 0143556100 Enrollment ID: I20190729002363 |
| Provider Name | Ryan Joseph Chrencik |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487427316 PECOS PAC ID: 5294182945 Enrollment ID: I20231117000196 |
| Mailing Address | Practice Location Address |
|---|---|
| Townline Family Pc 7100 Townline Rd, Kingsley, MI 49649-9623 Ph: () - | Townline Family Pc 882 M 72 Nw, Kalkaska, MI 49646-8787 Ph: (231) 258-9781 |
Kathleen Marie Leahy, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 882 M 72 Nw, Kalkaska, MI 49646 Phone: 231-258-9781 | |
Robert E Molter Jr., OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 882 M 72 Nw, Kalkaska, MI 49646 Phone: 231-258-9781 Fax: 231-258-0616 | |
Mr. Timothy John Troupe, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 882 M 72 Nw, Kalkaska, MI 49646 Phone: 231-258-9781 Fax: 231-258-0616 | |
Dr. Clayton G Skrzypczak, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 882 M 72 W, Kalkaska, MI 49646 Phone: 231-258-9781 Fax: 231-258-0616 | |
Robert & Kimberly Molter Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 882 M 72 Nw, Kalkaska, MI 49646 Phone: 231-258-9781 Fax: 231-258-0616 |