| Phillip A. Kohanov O.d. Pc | |
|
3833 24th Ave, Fort Gratiot, MI 48059-4100 | |
| (810) 985-5600 | |
| (810) 985-5740 |
| Full Name | Phillip A. Kohanov O.d. Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3833 24th Ave, Fort Gratiot, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821279159 | NPI | - | NPPES |
| 900G465140 | Other | BLUE CROSS BLUE SHIELD | |
| 1038350001 | Other | REGION B DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Phillip A Kohanov |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184615742 PECOS PAC ID: 4981884681 Enrollment ID: I20110214000294 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip A. Kohanov O.d. Pc 3833 24th Ave, Fort Gratiot, MI 48059-4100 Ph: (810) 985-5600 | Phillip A. Kohanov O.d. Pc 3833 24th Ave, Fort Gratiot, MI 48059-4100 Ph: (810) 985-5600 |
Dennis J Kautzman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4460 24th Ave, Fort Gratiot, MI 48059 Phone: 810-385-9638 Fax: 810-385-8105 | |
Family Eye Care And Contact Lens Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3957 24th Ave, Fort Gratiot, MI 48059 Phone: 810-984-5005 | |
Dr. Lindsay Marie Labelle, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4281 24th Ave Ste 200, Fort Gratiot, MI 48059 Phone: 810-385-4000 Fax: 810-958-7379 | |
Dr. Phillip A Kohanov, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3833 24th Ave, Fort Gratiot, MI 48059 Phone: 810-985-5600 Fax: 910-985-5740 | |
Donna L Suiter, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4350 24th Ave, Ste 634, Fort Gratiot, MI 48059 Phone: 810-385-0888 Fax: 810-385-0832 | |
Leigh Shores, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3923 Pine Grove Road, Fort Gratiot, MI 48059 Phone: 810-985-3333 Fax: 810-989-9279 | |
Carson Day, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3957 24th Ave, Fort Gratiot, MI 48059 Phone: 810-984-5005 Fax: 810-984-2423 |