Lisa Marie Sladek in Grand Rapids - Optometrist
Lisa Marie Sladek - NPI 1548396294
Lisa Marie Sladek is a Optometrist in Grand Rapids, Michigan. Lisa Marie Sladek practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Lisa Marie Sladek is 1548396294. The last update date is 2010-02-11.
Lisa Marie Sladek's current location address is 55 Campau Ave Nw, Grand Rapids, Michigan. You can contact this provider via phone number 6164597380 and fax number 6164595752. The mailing address for Lisa Marie Sladek is 55 Campau Ave Nw, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Marie Sladek |
|---|---|
| Address | 55 Campau Ave Nw, Grand Rapids, Michigan |
| Phone Number | 6164597380 |
| Fax Number | 6164595752 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1548396294 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2010-02-11 |
Provider Mailing Address Detail
| Address | 55 Campau Ave Nw |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032642 |
| Phone Number | 6164597380 |
| Fax Number | 6164595752 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 4901003881 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 900D114630 | MI | BLUE CROSS BLUE SHIELD |
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What is the unique identifier code issued to Lisa Marie Sladek by the Centers for Medicare & Medicaid Services?
The Lisa Marie Sladek has been assigned the NPI (National Provider Identifier) 1548396294. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lisa Marie Sladek located?
The Lisa Marie Sladek is located at 55 Campau Ave Nw, Grand Rapids, MI 495032642.
What is Lisa Marie Sladek's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lisa Marie Sladek is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
When did Lisa Marie Sladek receive its 1548396294 assignment?
The Lisa Marie Sladek was assigned its 1548396294 on 2007-02-26, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Lisa Marie Sladek most recently updated or revised?
The information pertaining to Lisa Marie Sladek, including its address, specialty, and other relevant details, was last updated or revised on 2010-02-11.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC