Mrs Emily Herendeen, OD | |
123 Locust St, Allegan, MI 49010-1301 | |
(269) 673-5100 | |
(269) 673-1806 |
Full Name | Mrs Emily Herendeen |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 123 Locust St, Allegan, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760189476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901005660 (Michigan) | Primary |
Provider Name | Allegan Eyecare Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366643538 PECOS PAC ID: 6103943220 Enrollment ID: O20110413000508 |
Mailing Address | Practice Location Address |
---|---|
Mrs Emily Herendeen, OD 123 Locust St, Allegan, MI 49010-1301 Ph: (269) 673-5100 | Mrs Emily Herendeen, OD 123 Locust St, Allegan, MI 49010-1301 Ph: (269) 673-5100 |
Allegan Eyecare Pc Optometrist Medicare: Medicare Enrolled Practice Location: 123 Locust St, Allegan, MI 49010 Phone: 269-673-5100 Fax: 269-673-1806 | |
Dr. Dale L Wittkop, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 123 Locust St, Allegan, MI 49010 Phone: 269-673-5100 Fax: 269-673-1806 | |
Dr. Amanda M Hodge, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 123 Locust St, Allegan, MI 49010 Phone: 269-673-5100 Fax: 269-673-1806 | |
Dr. Paul Anton Hodge, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 123 Locust St, Allegan, MI 49010 Phone: 269-673-5100 Fax: 269-673-1806 |