Riverside Eye Center Pc is a medicare enrolled "Ophthalmology" provider in East China, Michigan. Their current practice location is
4050 River Rd, East China, Michigan. You can reach out to their office (for appointments etc.) via phone at
(810) 329-9045.
Riverside Eye Center Pc is licensed to practice in Michigan (license number ) and it also participates in the medicare program. Riverside Eye Center Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1174748081.
Healthcare Provider's Profile
| Full Name | Riverside Eye Center Pc |
|---|
| Type | Facility |
|---|
| Speciality | Ophthalmology |
|---|
| Location | 4050 River Rd, East China, Michigan |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1174748081
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 07/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204870322
- Enrollment ID: O20050620000108
Medical Identifiers
Medical identifiers for Riverside Eye Center Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174748081 | NPI | - | NPPES |
| 180G410170 | Other | MI | BCBS PIN |
| 0741045 | Other | MI | BCBS INDIVIDUAL PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1146090001 (Michigan) | Secondary |
| 207W00000X | Ophthalmology | (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Riverside Eye Center Pc acts as a billing entity for following providers:
| Provider Name | Dianne M Schlachter |
|---|
| Provider Type | Practitioner - Ophthalmology |
|---|
| Provider Identifiers | NPI Number: 1659582773
PECOS PAC ID: 2365593019
Enrollment ID: I20090619000462 |
|---|
| Provider Name | Edward M Balok |
|---|
| Provider Type | Practitioner - Ophthalmology |
|---|
| Provider Identifiers | NPI Number: 1609884220
PECOS PAC ID: 7012951130
Enrollment ID: I20120125000683 |
|---|
| Provider Name | Matthew Hulst |
|---|
| Provider Type | Practitioner - Optometry |
|---|
| Provider Identifiers | NPI Number: 1104304328
PECOS PAC ID: 1456601699
Enrollment ID: I20180907002657 |
|---|
| Provider Name | Jillian L Boyd |
|---|
| Provider Type | Practitioner - Optometry |
|---|
| Provider Identifiers | NPI Number: 1134612450
PECOS PAC ID: 6204189376
Enrollment ID: I20181019002047 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Riverside Eye Center Pc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Riverside Eye Center Pc
4050 River Rd,
East China, MI 48054-2908
Ph: (810) 329-9045 | Riverside Eye Center Pc
4050 River Rd,
East China, MI 48054-2908
Ph: (810) 329-9045 |
Reviews and Comments