| Pcor Llc | |
|
655 W 13 Mile Rd, Madison Hts, MI 48071-1844 | |
| (248) 577-3616 | |
| (248) 307-9509 |
| Full Name | Pcor Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 655 W 13 Mile Rd, Madison Hts, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720033343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901003824 (Michigan) | Primary |
| Provider Name | Youngsuk Youn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316918022 PECOS PAC ID: 1951290857 Enrollment ID: I20040310001287 |
| Provider Name | Kevin Jon Trapp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982753646 PECOS PAC ID: 8123019650 Enrollment ID: I20040521001127 |
| Provider Name | Kimberly Merryfield |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578614079 PECOS PAC ID: 1456332899 Enrollment ID: I20040602000087 |
| Provider Name | Jay P Lizyness |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629093562 PECOS PAC ID: 9739142100 Enrollment ID: I20041105001116 |
| Provider Name | Xue Qing Zhang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780724781 PECOS PAC ID: 4486692951 Enrollment ID: I20050425000646 |
| Provider Name | Howard Alan Foote |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346326071 PECOS PAC ID: 6103853379 Enrollment ID: I20050719001041 |
| Provider Name | Rovetta Mattia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366497661 PECOS PAC ID: 7416969555 Enrollment ID: I20060608000113 |
| Provider Name | Ayaz M Khan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497794507 PECOS PAC ID: 9830193150 Enrollment ID: I20060829000226 |
| Provider Name | Shanna Marie Voss |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952482093 PECOS PAC ID: 8527066869 Enrollment ID: I20061120000453 |
| Provider Name | Jennifer A Wong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346303856 PECOS PAC ID: 5698776151 Enrollment ID: I20070125000386 |
| Provider Name | David A Gourwitz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568598175 PECOS PAC ID: 0648350264 Enrollment ID: I20080108000540 |
| Provider Name | William R Harmon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770629982 PECOS PAC ID: 1557419314 Enrollment ID: I20090505000097 |
| Provider Name | Julie A Tracey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619126364 PECOS PAC ID: 1456493998 Enrollment ID: I20100122000167 |
| Provider Name | Benjamin S Maniaci |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740519941 PECOS PAC ID: 7113054339 Enrollment ID: I20100420000819 |
| Provider Name | Curtis Wee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154346005 PECOS PAC ID: 1557557659 Enrollment ID: I20101201001014 |
| Provider Name | Erin Noel Hitzelburger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063725919 PECOS PAC ID: 3577745397 Enrollment ID: I20110315000475 |
| Provider Name | Ann Marie B Spadafora |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952357147 PECOS PAC ID: 0749463156 Enrollment ID: I20110323000048 |
| Provider Name | Kristen M Browski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568770782 PECOS PAC ID: 5193908218 Enrollment ID: I20110328000770 |
| Provider Name | Brian R Schmidt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578883922 PECOS PAC ID: 1254501752 Enrollment ID: I20110818000629 |
| Provider Name | Xanthi Tuchowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023064375 PECOS PAC ID: 7113192071 Enrollment ID: I20111205000911 |
| Provider Name | Robert C Hagemann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003855107 PECOS PAC ID: 9830364793 Enrollment ID: I20111205000930 |
| Provider Name | Anna Marie Santillan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033226816 PECOS PAC ID: 7416122627 Enrollment ID: I20111215000618 |
| Provider Name | Amy Frances Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841230687 PECOS PAC ID: 1850566068 Enrollment ID: I20111215000651 |
| Provider Name | Gregory Herbart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871532432 PECOS PAC ID: 4486820701 Enrollment ID: I20120106000769 |
| Provider Name | Bruce Wolffis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104865252 PECOS PAC ID: 1557537883 Enrollment ID: I20120106000788 |
| Provider Name | Nathan D Harris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356366470 PECOS PAC ID: 0749457885 Enrollment ID: I20120112000822 |
| Provider Name | Margaret Kuznicki |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730295379 PECOS PAC ID: 7911174057 Enrollment ID: I20120112000831 |
| Provider Name | Barry Alan Bell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972542116 PECOS PAC ID: 6002083029 Enrollment ID: I20120114000066 |
| Provider Name | Fariba Khalighi-hickinson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457306425 PECOS PAC ID: 8729255740 Enrollment ID: I20120114000069 |
| Provider Name | Larry T Olson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720003866 PECOS PAC ID: 2365619624 Enrollment ID: I20120127000259 |
| Provider Name | Stephanie Borsand Turpen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407801814 PECOS PAC ID: 1850559667 Enrollment ID: I20120224000746 |
| Provider Name | Daniel Flick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053336198 PECOS PAC ID: 5496915670 Enrollment ID: I20120326000520 |
| Provider Name | Kimberly A Sebok |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750300059 PECOS PAC ID: 5294995486 Enrollment ID: I20120326000547 |
| Provider Name | Robert V Finlay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730104803 PECOS PAC ID: 7810982022 Enrollment ID: I20120326000773 |
| Provider Name | Lauren E Vokal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316235849 PECOS PAC ID: 5698936177 Enrollment ID: I20120410000168 |
| Provider Name | Tiffany R Humes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922360650 PECOS PAC ID: 6800042300 Enrollment ID: I20120816000691 |
| Provider Name | Kristen A Milosavlevski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932331741 PECOS PAC ID: 2769659986 Enrollment ID: I20120920000422 |
| Provider Name | Whitney P White |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740541796 PECOS PAC ID: 9133372196 Enrollment ID: I20121227000192 |
| Provider Name | Neha Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710951173 PECOS PAC ID: 8921037003 Enrollment ID: I20121231000137 |
| Provider Name | Adam M Castle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356696108 PECOS PAC ID: 0941438014 Enrollment ID: I20140117000400 |
| Provider Name | Paul D Kimbro |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407296593 PECOS PAC ID: 9133357189 Enrollment ID: I20140121000274 |
| Provider Name | Tara J Nathaniel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952659880 PECOS PAC ID: 9931322294 Enrollment ID: I20140514001551 |
| Provider Name | Meredith C Jeffrey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386084408 PECOS PAC ID: 3577789791 Enrollment ID: I20140724001378 |
| Provider Name | Emanuela B Petrascu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255746194 PECOS PAC ID: 0143447821 Enrollment ID: I20140805000655 |
| Provider Name | Daniel Balcueva |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659636017 PECOS PAC ID: 3173776382 Enrollment ID: I20141106000208 |
| Provider Name | Kyle J Campion |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447667340 PECOS PAC ID: 7618291071 Enrollment ID: I20150114000447 |
| Provider Name | Lizbeth Ann Joseph |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386085876 PECOS PAC ID: 7214250430 Enrollment ID: I20150701002104 |
| Provider Name | Brittany R Adams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659754505 PECOS PAC ID: 9436462769 Enrollment ID: I20150716000198 |
| Provider Name | Christine Mekhayel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821472671 PECOS PAC ID: 2264745876 Enrollment ID: I20150724010665 |
| Provider Name | Leila A Siblani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912381435 PECOS PAC ID: 9133433584 Enrollment ID: I20150730010618 |
| Provider Name | Lindsay M Labelle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184008252 PECOS PAC ID: 6608180989 Enrollment ID: I20150730012090 |
| Provider Name | Emily R Gillette |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386027241 PECOS PAC ID: 7911214309 Enrollment ID: I20150917000759 |
| Provider Name | Colleen Podd |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942666474 PECOS PAC ID: 8628368909 Enrollment ID: I20160526002199 |
| Provider Name | Michael A Ruthven |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174971998 PECOS PAC ID: 9234420654 Enrollment ID: I20160615001034 |
| Provider Name | Emily A Heins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508215302 PECOS PAC ID: 1850682451 Enrollment ID: I20160628002235 |
| Provider Name | Jessica R Jacques Goodman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588019947 PECOS PAC ID: 2365734027 Enrollment ID: I20160718000346 |
| Provider Name | Flora Lam |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750732061 PECOS PAC ID: 6002109535 Enrollment ID: I20160721001105 |
| Provider Name | Soha S Rafi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225582372 PECOS PAC ID: 5092000539 Enrollment ID: I20160824000076 |
| Provider Name | Sulman S Hans |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255887584 PECOS PAC ID: 8022306158 Enrollment ID: I20170525000902 |
| Provider Name | Shannon M Crane |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821542044 PECOS PAC ID: 0244508216 Enrollment ID: I20170615000649 |
| Provider Name | Nikolas Atleski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467981274 PECOS PAC ID: 5698043198 Enrollment ID: I20170623001227 |
| Provider Name | Luis Balderas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770005217 PECOS PAC ID: 8123399904 Enrollment ID: I20170814000704 |
| Provider Name | Morgan A Baker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417470808 PECOS PAC ID: 2163794371 Enrollment ID: I20170823002811 |
| Provider Name | Rhonda E Thompson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093940066 PECOS PAC ID: 3173674413 Enrollment ID: I20180104001135 |
| Provider Name | Jaye A Liberman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215388749 PECOS PAC ID: 1850654120 Enrollment ID: I20180419000798 |
| Provider Name | Alexander J Groth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720571839 PECOS PAC ID: 0345596177 Enrollment ID: I20180709001489 |
| Provider Name | Lena Barada |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861986655 PECOS PAC ID: 9234485822 Enrollment ID: I20180712001198 |
| Provider Name | Stephanie Marie Berge |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114413143 PECOS PAC ID: 4587911516 Enrollment ID: I20180723002606 |
| Provider Name | Saba M Hans |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578086427 PECOS PAC ID: 3274805353 Enrollment ID: I20180809001085 |
| Provider Name | Selena P Lam-jiang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508343443 PECOS PAC ID: 6204184989 Enrollment ID: I20180813002597 |
| Provider Name | Jacqueline Wodyka |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326482738 PECOS PAC ID: 1153557756 Enrollment ID: I20181018002992 |
| Provider Name | Jessica R White |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871926196 PECOS PAC ID: 9032462650 Enrollment ID: I20181030000396 |
| Provider Name | Naureen M Haroon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194117333 PECOS PAC ID: 3173838760 Enrollment ID: I20181205000831 |
| Provider Name | Danielle L Alperin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134486269 PECOS PAC ID: 7012179526 Enrollment ID: I20190423001617 |
| Provider Name | Gina Vladimirova Hellman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801319884 PECOS PAC ID: 0143594135 Enrollment ID: I20190528000894 |
| Provider Name | Nilam R Trivedi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649838616 PECOS PAC ID: 0345574042 Enrollment ID: I20190701000973 |
| Provider Name | Brigid C Roney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508425448 PECOS PAC ID: 8022343920 Enrollment ID: I20190715003178 |
| Provider Name | Megan L Rix |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861988727 PECOS PAC ID: 6800122292 Enrollment ID: I20190723001986 |
| Provider Name | Darlene Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346892361 PECOS PAC ID: 0648507020 Enrollment ID: I20190807002911 |
| Provider Name | Blessy S Mathew |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376197483 PECOS PAC ID: 9436487147 Enrollment ID: I20190820000263 |
| Provider Name | Esther Moon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205481090 PECOS PAC ID: 7618207077 Enrollment ID: I20190926003521 |
| Provider Name | Susan E Sunny |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508412065 PECOS PAC ID: 4486986197 Enrollment ID: I20191030001519 |
| Provider Name | Brooke V Abbaya |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962062968 PECOS PAC ID: 4082044607 Enrollment ID: I20200423000450 |
| Provider Name | Barah Alden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871148437 PECOS PAC ID: 5991127300 Enrollment ID: I20200611002587 |
| Provider Name | Jaana S Ashtiani-zarandi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427603083 PECOS PAC ID: 1951725407 Enrollment ID: I20200716003945 |
| Provider Name | Zaineb Alhachami |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437776846 PECOS PAC ID: 1557785540 Enrollment ID: I20200723001350 |
| Provider Name | Alexandra D Heisler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922411651 PECOS PAC ID: 1850698374 Enrollment ID: I20200813000522 |
| Provider Name | Kyler J Popp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124638606 PECOS PAC ID: 2567888902 Enrollment ID: I20200817002424 |
| Provider Name | Jasmine K Mahal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700493111 PECOS PAC ID: 8527471028 Enrollment ID: I20201230000100 |
| Provider Name | Amanda R Parmer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366017261 PECOS PAC ID: 1254731631 Enrollment ID: I20210608000404 |
| Provider Name | Hussein Mouzaihem |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013585199 PECOS PAC ID: 0244631695 Enrollment ID: I20210623002495 |
| Provider Name | Marina J Garmo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942877691 PECOS PAC ID: 0042611402 Enrollment ID: I20210623002622 |
| Provider Name | Lorenzo Lograsso |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376110346 PECOS PAC ID: 5395146674 Enrollment ID: I20210623003917 |
| Provider Name | Stephanie M Parker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306412408 PECOS PAC ID: 0941601058 Enrollment ID: I20210628000871 |
| Provider Name | Sasha S Kashat |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073180444 PECOS PAC ID: 7113329954 Enrollment ID: I20210715002662 |
| Provider Name | Nabil F Moussawel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518539915 PECOS PAC ID: 8628471000 Enrollment ID: I20210722001388 |
| Provider Name | Amina M Marini |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659033454 PECOS PAC ID: 8123416658 Enrollment ID: I20211102001658 |
| Provider Name | Dina H Akhdar-baghdadi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134797954 PECOS PAC ID: 6305239328 Enrollment ID: I20220215000629 |
| Provider Name | Rafiah Anjum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992452627 PECOS PAC ID: 6103211719 Enrollment ID: I20220317002047 |
| Provider Name | Emma D Stewart-bates |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790369924 PECOS PAC ID: 7911397211 Enrollment ID: I20220517000234 |
| Provider Name | Jon O Jimenez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245976463 PECOS PAC ID: 1052790789 Enrollment ID: I20220627000346 |
| Provider Name | Faqar Saleh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487229209 PECOS PAC ID: 4082007943 Enrollment ID: I20220701000970 |
| Provider Name | Kaitlin M Gibbs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881328870 PECOS PAC ID: 9739561226 Enrollment ID: I20220730000149 |
| Provider Name | Jeffrey W Reardon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578131884 PECOS PAC ID: 1153703640 Enrollment ID: I20220730000286 |
| Provider Name | Jehann R Dagher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326787318 PECOS PAC ID: 6406235811 Enrollment ID: I20230504003072 |
| Provider Name | Marie C Elchaer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073212205 PECOS PAC ID: 8527424787 Enrollment ID: I20230515001906 |
| Provider Name | Katelyn M Pawlowicz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578257176 PECOS PAC ID: 9931567765 Enrollment ID: I20230626003089 |
| Provider Name | Rachel S Chandra |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487398830 PECOS PAC ID: 6507225901 Enrollment ID: I20230703001676 |
| Provider Name | Miranda M Geisinger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366179798 PECOS PAC ID: 1153703087 Enrollment ID: I20230705001805 |
| Provider Name | Mortada Altwaij |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700562758 PECOS PAC ID: 6204296320 Enrollment ID: I20230720000973 |
| Provider Name | Reham H Karana |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326738808 PECOS PAC ID: 7810357837 Enrollment ID: I20230721000729 |
| Provider Name | Marie T Peterson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285314237 PECOS PAC ID: 5193188290 Enrollment ID: I20230822003438 |
| Provider Name | Sara Direzze |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033899620 PECOS PAC ID: 8921461047 Enrollment ID: I20230822003850 |
| Provider Name | Kenneth D Ward |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467134841 PECOS PAC ID: 5193188753 Enrollment ID: I20230829004237 |
| Provider Name | Talha Suhail |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285417469 PECOS PAC ID: 1658735816 Enrollment ID: I20230907000631 |
| Provider Name | Nicole I Landry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639922354 PECOS PAC ID: 3375985989 Enrollment ID: I20240529000773 |
| Provider Name | Guang H Lim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972359867 PECOS PAC ID: 4082158084 Enrollment ID: I20240702000339 |
| Provider Name | Selena M Nehmeh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245087022 PECOS PAC ID: 5890239800 Enrollment ID: I20240702000669 |
| Provider Name | Suha Ahmed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720828049 PECOS PAC ID: 1951846054 Enrollment ID: I20240712002986 |
| Provider Name | Ali Makled |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376388033 PECOS PAC ID: 5597201681 Enrollment ID: I20240725000618 |
| Provider Name | Ali Chukr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104673144 PECOS PAC ID: 8729526090 Enrollment ID: I20240817000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Pcor Llc 735 John R Rd Ste 150, Troy, MI 48083-5859 Ph: (248) 588-9300 | Pcor Llc 655 W 13 Mile Rd, Madison Hts, MI 48071-1844 Ph: (248) 577-3616 |
Dr. Robert Charles Hagemann, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 655 W 13 Mile Rd, Madison Hts, MI 48071 Phone: 248-577-3659 Fax: 248-588-9320 | |
Dr. Xanthi Tuchowski, OD Optometrist Medicare: Medicare Enrolled Practice Location: 655 W 13 Mile Rd, Madison Hts, MI 48071 Phone: 248-577-3659 Fax: 248-588-9320 | |
Dr. Kurt Matthew Schulz, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 655 W 13 Mile Rd, Madison Hts, MI 48071 Phone: 248-577-3616 Fax: 248-307-9509 | |
Pcor - Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 29351 John R Rd, Madison Hts, MI 48071 Phone: 248-544-3290 Fax: 248-307-9518 | |
Dr. Fariba Khalighi - Hickinson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 655 W 13 Mile Rd, Madison Hts, MI 48071 Phone: 248-577-3659 Fax: 248-588-9320 | |
Dr. Ranald Mackenzie, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 655 W 13 Mile Rd, Madison Hts, MI 48071 Phone: 248-577-3659 Fax: 248-588-9320 |