Elder Eye Care Group Plc
LBN: Elder Eye Care Group Plc
Elder Eye Care Group Plc is an health care organization with primary practice located at 15666 River Side Dr , Spring Lake MI 49456-9243. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Elder Eye Care Group Plc can be contacted via phone (616) 502-0069, or through Ventocilla, Mark A via phone (616) 502-0069.
Contact Information
Primary practice address
15666 River Side Dr
Spring Lake MI 49456-9243
Phone: (616) 502-0069
Fax:
Website:
Authorized official contact:
Name: Ventocilla, Mark A Doctor of Optometry (OD)
Phone: (616) 502-0069
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901003734 | Michigan |
Profile Details
| NPI number | 1477617579 |
|---|---|
| LBN Legal business name | Elder Eye Care Group Plc |
| DBA Doing business as | |
| Authorized official | Ventocilla, Mark A Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Sep 14th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477617579 | NPPES |
| Michigan | Other | P00329735 | RR MEDICARE NUMBER |
| Michigan | Other | 90G011590 | RR MEDICARE NUMBER |
| Michigan | Other | 900029831 | RR MEDICARE NUMBER |
| Michigan | MEDICAID | 4820570 | RR MEDICARE NUMBER |
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