Northshore Optometry Llc is a medicare enrolled "Optometrist" provider in N Muskegon, Michigan. Their current practice location is
1179 Whitehall Rd, Suite B, N Muskegon, Michigan. You can reach out to their office (for appointments etc.) via phone at
(231) 744-3573.
Northshore Optometry Llc is licensed to practice in Michigan (license number 49010003090) and it also participates in the medicare program. Northshore Optometry Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1114103140.
Healthcare Provider's Profile
| Full Name | Northshore Optometry Llc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 1179 Whitehall Rd, N Muskegon, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114103140
- Provider Enumeration Date: 01/22/2008
- Last Update Date: 06/18/2026
Medicare PECOS Information:
- PECOS PAC ID: 9436305307
- Enrollment ID: O20120808000507
Medical Identifiers
Medical identifiers for Northshore Optometry Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114103140 | NPI | - | NPPES |
| 1806648 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 49010003090 (Michigan) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 4901003090 (Michigan) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Northshore Optometry Llc acts as a billing entity for following providers:
| Provider Name | Michelle Lee Burkhardt Bullion |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1871676304
PECOS PAC ID: 3072416296
Enrollment ID: I20040216000457 |
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| Provider Name | Korinne M Swain |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1720077845
PECOS PAC ID: 3870637671
Enrollment ID: I20100217000465 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Northshore Optometry Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Northshore Optometry Llc
1179 Whitehall Rd, Suite B,
N Muskegon, MI 49445-2497
Ph: (231) 744-3573 | Northshore Optometry Llc
1179 Whitehall Rd, Suite B,
N Muskegon, MI 49445-2497
Ph: (231) 744-3573 |
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