| Peter A Caroselli, OD | |
|
133 E Michigan Ave, Paw Paw, MI 49079-1429 | |
| (269) 657-7288 | |
| (269) 655-9063 |
| Full Name | Peter A Caroselli |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 28 Years |
| Location | 133 E Michigan Ave, Paw Paw, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396826095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901003862 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid Michigan Eye Care Center Pc | 4486566098 | 23 |
| Provider Name | Mid Michigan Eye Care Center Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649275041 PECOS PAC ID: 4486566098 Enrollment ID: O20031103000363 |
| Provider Name | Hiemstra Optical Company |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841371556 PECOS PAC ID: 7618098062 Enrollment ID: O20120306000880 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter A Caroselli, OD 133 E Michigan Ave, Paw Paw, MI 49079-1429 Ph: (269) 657-7288 | Peter A Caroselli, OD 133 E Michigan Ave, Paw Paw, MI 49079-1429 Ph: (269) 657-7288 |
David A Cleary, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 133 E Michigan Ave, Paw Paw, MI 49079 Phone: 269-657-7288 Fax: 269-655-9063 | |
Lana Gruizenga, OD Optometrist Medicare: Medicare Enrolled Practice Location: 133 E Michigan Ave, Paw Paw, MI 49079 Phone: 269-657-7288 Fax: 269-655-9063 | |
Phillip J Zwier, OD Optometrist Medicare: Medicare Enrolled Practice Location: 133 E Michigan Ave, Paw Paw, MI 49079 Phone: 269-657-7288 Fax: 269-655-9063 | |
Grant Morrison, OD Optometrist Medicare: Medicare Enrolled Practice Location: 133 E Michigan Ave, Paw Paw, MI 49079 Phone: 269-657-7288 Fax: 269-655-9063 |