Bruce Douglas Dragoo in Grand Rapids - Ophthalmology
Bruce Douglas Dragoo - NPI 1578568317
Bruce Douglas Dragoo is a Ophthalmology in Grand Rapids, Michigan. Bruce Douglas Dragoo practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Bruce Douglas Dragoo is 1578568317. The last update date is 2021-03-11.
Bruce Douglas Dragoo's current location address is 1000 East Paris Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169573643 and fax number 6169570896. The mailing address for Bruce Douglas Dragoo is 1000 East Paris Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Douglas Dragoo |
|---|---|
| Address | 1000 East Paris Se, Grand Rapids, Michigan |
| Phone Number | 6169573643 |
| Fax Number | 6169570896 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1578568317 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2021-03-11 |
Provider Mailing Address Detail
| Address | 1000 East Paris Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495460 |
| Phone Number | 6169573643 |
| Fax Number | 6169570896 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 4301028716 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1083311 | MI | -- | |
| 4301028716 | MI | MI STATE LICENSE | |
| 180D117670 | MI | BLUE CROSS & BLUE SHIELD | |
| 382237488 | MI | PRIORITY HEALTH | |
| BD028716 | MI | MI BCBS STAT LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bruce Douglas Dragoo by the Centers for Medicare & Medicaid Services?
The Bruce Douglas Dragoo has been assigned the NPI (National Provider Identifier) 1578568317 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Bruce Douglas Dragoo is geographically located?
The Bruce Douglas Dragoo is physically situated at the following location: 1000 East Paris Se, Grand Rapids, MI, 495460.
What is Bruce Douglas Dragoo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bruce Douglas Dragoo's specialized field of practice is Ophthalmology, and the corresponding taxonomy code that categorizes this area of specialization is 207W00000X.
On what date did Bruce Douglas Dragoo receive its 1578568317 assignment from the Centers for Medicare & Medicaid Services?
The Bruce Douglas Dragoo was assigned its 1578568317 on 2005-06-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Bruce Douglas Dragoo, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bruce Douglas Dragoo, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-03-11.