| Lifetime Eyecare P C | |
|
597 Baldwin St, Jenison, MI 49428-7994 | |
| (616) 457-0760 | |
| Not Available |
| Full Name | Lifetime Eyecare P C |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 597 Baldwin St, Jenison, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285836213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901002394 (Michigan) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | F==-======= (Michigan) | Secondary |
| Provider Name | Allen R Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255369138 PECOS PAC ID: 2062440993 Enrollment ID: I20050801000879 |
| Provider Name | Nicole Marie Bennett Gdowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508154246 PECOS PAC ID: 6901076348 Enrollment ID: I20110823000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Eyecare P C 597 Baldwin St Ste 1, Jenison, MI 49428-7994 Ph: (616) 457-0760 | Lifetime Eyecare P C 597 Baldwin St, Jenison, MI 49428-7994 Ph: (616) 457-0760 |
Myeyedr Optometry Of Michigan, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7673 Georgetown Center Dr, Jenison, MI 49428 Phone: 616-457-2020 Fax: 616-457-4043 | |
Dr. Allen Ralph Smith, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 597 Baldwin St, Jenison, MI 49428 Phone: 616-457-0760 Fax: 616-457-0762 | |
Robert C Huizenga O D P C Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1884 Baldwin St, Jenison, MI 49428 Phone: 616-457-2020 Fax: 616-988-5776 | |
Ms. Stacy Maier Noyes, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 381 Baldwin St, Jenison, MI 49428 Phone: 616-457-4443 Fax: 616-457-4715 | |
Dr. Robert C Huizenga, O D Optometrist Medicare: May Accept Medicare Assignments Practice Location: 7673 Georgetown Center Dr, Jenison, MI 49428 Phone: 616-457-2020 Fax: 616-457-4043 | |
Rx Optical Laboratories, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 304 Baldwin St, Jenison, MI 49428 Phone: 616-457-4443 |