| Robert C Layman Od Inc | |
|
3309 Quail Hollow Dr Ste E, Lambertville, MI 48144-8688 | |
| (734) 854-3937 | |
| (734) 854-5868 |
| Full Name | Robert C Layman Od Inc |
|---|---|
| Type | Facility |
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 3309 Quail Hollow Dr Ste E, Lambertville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053593715 | NPI | - | NPPES |
| 941931252 | Medicaid | MI | |
| 22-01112 | Other | MI | UNITED HEALTH CARE |
| 03157 | Other | MI | PARAMOUNT |
| 900E811650 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901002-861 (Michigan) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 4901002-2861 (Michigan) | Primary |
| Provider Name | Robert C Layman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699769836 PECOS PAC ID: 7719985407 Enrollment ID: I20071226000129 |
| Provider Name | James D Hardie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164734125 PECOS PAC ID: 9436283074 Enrollment ID: I20100817001595 |
| Provider Name | Holly A Hardie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679885669 PECOS PAC ID: 0042492308 Enrollment ID: I20140905001690 |
| Provider Name | Ashley O'dwyer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639606700 PECOS PAC ID: 1052677945 Enrollment ID: I20171109000449 |
| Provider Name | Jordan E Rogaliner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578239927 PECOS PAC ID: 8628476645 Enrollment ID: I20211006000271 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert C Layman Od Inc 3309 Quail Hollow Dr Ste E, Lambertville, MI 48144-8688 Ph: (734) 854-3937 | Robert C Layman Od Inc 3309 Quail Hollow Dr Ste E, Lambertville, MI 48144-8688 Ph: (734) 854-3937 |