| Michael P Jacquemin, OD | |
|
12659 Riley St, Holland, MI 49424-9215 | |
| (616) 399-1440 | |
| (616) 399-2169 |
| Full Name | Michael P Jacquemin |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 19 Years |
| Location | 12659 Riley St, Holland, Michigan |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043376726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901004403 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Myeyedr Optometry Of Michigan, Llc | 7416288949 | 49 |
| Provider Name | Myeyedr Optometry Of Michigan, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1639723596 PECOS PAC ID: 7416288949 Enrollment ID: O20191014002048 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael P Jacquemin, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899 | Michael P Jacquemin, OD 12659 Riley St, Holland, MI 49424-9215 Ph: (616) 399-1440 |
Dr. Kelly Borgman, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 904 Washington Ave Ste 120, Holland, MI 49423 Phone: 616-796-9995 | |
Dr. Daniel Patrick Dunn, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2942 Pine Edge Ct, Holland, MI 49424 Phone: 616-393-0144 Fax: 616-393-0199 | |
Family Eyecare Of Holland Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 456 E 16th St, Suite 1, Holland, MI 49423 Phone: 616-395-2020 | |
Dr. Dirk Schrotenboer, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11971 James St, Holland, MI 49424 Phone: 616-395-0606 Fax: 616-395-0070 | |
Dr. Tara Marie Oosterbaan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 999 Washington Ave, Holland, MI 49423 Phone: 616-396-2316 Fax: 616-396-0085 | |
Dr. Gerald Kolk, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 456 E 16th St, Suite 1, Holland, MI 49423 Phone: 616-395-2020 |