Cutlerville Eyecare, P.C.

LBN: Cutlerville Eyecare, P.C.
Cutlerville Eyecare, P.C. is an health care organization with primary practice located at 6680 S Division Ave , Grand Rapids MI 49548-7834. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Cutlerville Eyecare, P.C. can be contacted via phone (616) 455-2525, or through Beyer, Jacquie via phone (616) 455-2525.

Contact Information

Primary practice address
6680 S Division Ave Grand Rapids MI 49548-7834
Fax: (616) 455-9135
Website:
Authorized official contact:
Name: Beyer, Jacquie

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1891778189
LBN Legal business name Cutlerville Eyecare, P.C.
DBA Doing business as
Authorized official Beyer, Jacquie
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2005
Last updated Mar 29th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891778189 NPPES
Michigan Other 900D178450 BCBS
Michigan MEDICAID 2587297 BCBS

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