| Pediatric Ophthalmology Pc | |
|
5050 Cascade Rd Se, Grand Rapids, MI 49546-3707 | |
| (616) 957-0866 | |
| (616) 957-4102 |
| Full Name | Pediatric Ophthalmology Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist - Pediatrics |
| Location | 5050 Cascade Rd Se, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225278880 | NPI | - | NPPES |
| 2636622 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WP0200X | Optometrist - Pediatrics | 003979 (Michigan) | Secondary |
| Provider Name | Patrick J Droste |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972552628 PECOS PAC ID: 6507856630 Enrollment ID: I20040512001194 |
| Provider Name | Robert J Peters |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972553899 PECOS PAC ID: 4789841511 Enrollment ID: I20120207000474 |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Ophthalmology Pc 5050 Cascade Rd Se, Grand Rapids, MI 49546-3707 Ph: (616) 957-0866 | Pediatric Ophthalmology Pc 5050 Cascade Rd Se, Grand Rapids, MI 49546-3707 Ph: (616) 957-0866 |
Bruce L Bullion, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1960 28th St Se, Grand Rapids, MI 49508 Phone: 616-247-6677 Fax: 616-247-1254 | |
Modern Optics, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4228 29th St Se, Grand Rapids, MI 49512 Phone: 616-949-5860 | |
School Vision Program Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 Cherry St Se, Grand Rapids, MI 49503 Phone: 616-965-8200 Fax: 616-940-5366 | |
Mr. Anthony W Danko, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5429 Northland Dr, Grand Rapids, MI 49525 Phone: 616-365-7600 Fax: 616-365-8289 | |
Brittany Ann Darnley, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1000 E Paris Avenue Se, Ste 130, Grand Rapids, MI 49546 Phone: 616-949-2001 Fax: 646-949-8620 | |
Dr. Kiersten Coon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 144 Monroe Center St Nw, Grand Rapids, MI 49503 Phone: 616-459-0641 Fax: 616-459-0621 | |
Mary P Chelsky, O.D, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 100 Cherry St Se, Grand Rapids, MI 49503 Phone: 616-965-8200 Fax: 616-940-5334 |