| Portage Family Vision Care, Pc | |
|
6483 S Westnedge Ave, Portage, MI 49002-3542 | |
| (269) 324-4242 | |
| (269) 324-6145 |
| Full Name | Portage Family Vision Care, Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 6483 S Westnedge Ave, Portage, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669711438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901004118 (Michigan) | Primary |
| Provider Name | Susan B Connolly |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740496595 PECOS PAC ID: 7618865205 Enrollment ID: I20040305000743 |
| Provider Name | Katie Simon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366429581 PECOS PAC ID: 3678541299 Enrollment ID: I20250321001960 |
| Provider Name | Laura Segraves |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740929520 PECOS PAC ID: 3678092830 Enrollment ID: I20250521002439 |
| Mailing Address | Practice Location Address |
|---|---|
| Portage Family Vision Care, Pc 6483 S Westnedge Ave, Portage, MI 49002-3542 Ph: (269) 324-4242 | Portage Family Vision Care, Pc 6483 S Westnedge Ave, Portage, MI 49002-3542 Ph: (269) 324-4242 |
Dr. Katie Lynne Sutter, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6101 Newport Rd Ste A, Portage, MI 49002 Phone: 269-382-6500 Fax: 269-382-2286 | |
Mr. David C Mcclintic, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6123 S Westnedge Ave, Portage, MI 49002 Phone: 269-327-7079 Fax: 269-327-7165 | |
Dr. Lynnette Raye Blostica, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3412 W Centre Ave, Portage, MI 49024 Phone: 269-329-5860 Fax: 269-329-5865 | |
David P Williams, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 410 E Centre Ave, Portage, MI 49002 Phone: 269-327-4454 Fax: 269-327-8717 | |
Kunjal Patel, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 255 Romence Rd, Portage, MI 49024 Phone: 269-324-0800 | |
West Point Optical Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6650 S Westnedge Ave, Suite 232, Portage, MI 49024 Phone: 269-237-2881 | |
Dr. Steven S. Ellinger, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1612 E. Centre Ave., Portage, MI 49002 Phone: 269-329-1030 Fax: 269-329-0966 |