| Donahue Eyecare | |
|
750 Stewart Rd Monroe MI 48162-4291 | |
| (734) 242-8630 | |
| Not Available |
| Full Name | Donahue Eyecare |
|---|---|
| Speciality | Clinic/Center |
| Location | 750 Stewart Rd, Monroe, Michigan |
| Authorized Official Name and Position | James Hardie (OPTOMETRIST) |
| Authorized Official Contact | 5173311580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donahue Eyecare 750 Stewart Rd Monroe MI 48162-4291 Ph: () - | Donahue Eyecare 750 Stewart Rd Monroe MI 48162-4291 Ph: (734) 242-8630 |
| NPI Number | 1174920748 |
|---|---|
| Provider Enumeration Date | 11/26/2014 |
| Last Update Date | 11/26/2014 |
| Medicare PECOS PAC ID | 8022335884 |
|---|---|
| Medicare Enrollment ID | O20150317000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174920748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Glenn M Young |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427198126 PECOS PAC ID: 0345331625 Enrollment ID: I20070801000595 |
| 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 |
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