| St Clair Eye Pllc | |
|
3443 County Line Rd, Casco, MI 48064-1000 | |
| (586) 727-8000 | |
| (586) 727-8000 |
| Full Name | St Clair Eye Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3443 County Line Rd, Casco, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619270972 | NPI | - | NPPES |
| OG40116 | Other | MI | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901003304 (Michigan) | Primary |
| Provider Name | Michael Caister |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285813162 PECOS PAC ID: 9638285075 Enrollment ID: I20110509000486 |
| Provider Name | Lindsey M Ellicott-gasta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174908057 PECOS PAC ID: 0749596427 Enrollment ID: I20150825005538 |
| Provider Name | Liesl A Caister |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912529512 PECOS PAC ID: 7012334659 Enrollment ID: I20200824002497 |
| Mailing Address | Practice Location Address |
|---|---|
| St Clair Eye Pllc 3443 County Line Rd, Casco, MI 48064-1000 Ph: (586) 727-8000 | St Clair Eye Pllc 3443 County Line Rd, Casco, MI 48064-1000 Ph: (586) 727-8000 |
Ms. Lindsey Ellicott-gasta, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3443 County Line Rd, Casco, MI 48064 Phone: 586-727-8000 Fax: 586-727-8004 | |
Liesl A Black, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3443 County Line Rd, Casco, MI 48064 Phone: 586-727-8000 Fax: 586-727-8004 |