Cascade Ophthalmology Pc in Grand Rapids - Eyewear Supplier
Cascade Ophthalmology Pc - NPI 1508927286
Cascade Ophthalmology Pc is a Eyewear Supplier in Grand Rapids, Michigan. Cascade Ophthalmology Pc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Cascade Ophthalmology Pc is 1508927286. The last update date is 2015-09-30.
Cascade Ophthalmology Pc's current location address is 791 Kenmoor Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6165758200 and fax number 6169549622. The mailing address for Cascade Ophthalmology Pc is 791 Kenmoor Ave Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Cascade Ophthalmology Pc |
---|---|
Address | 791 Kenmoor Ave Se, Grand Rapids, Michigan |
Phone Number | 6165758200 |
Fax Number | 6169549622 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Henry H Elizabeth |
Credentials | MD |
Telephone Number | 6165758200 |
NPI Number Detail
NPI Number | 1508927286 |
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Provider Enumeration Date | 2006-12-13 |
Last Updated Date | 2015-09-30 |
Provider Mailing Address Detail
Address | 791 Kenmoor Ave Se |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495468625 |
Phone Number | 6165758200 |
Fax Number | 6169549622 |
Provider's Primary Taxonomy Detail
Speciality | Eyewear Supplier |
---|---|
Taxonomy | 332H00000X |
Licence No | 4301070226 |
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
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What is the unique 10-digit identification code assigned to Cascade Ophthalmology Pc by the Centers for Medicare & Medicaid Services?
The Cascade Ophthalmology Pc has been issued the NPI (National Provider Identifier) 1508927286, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Cascade Ophthalmology Pc's facilities are geographically located?
The facilities of Cascade Ophthalmology Pc are physically situated at the following location: 791 Kenmoor Ave Se, Grand Rapids, MI, 495468625.
What is Cascade Ophthalmology Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Cascade Ophthalmology Pc's area of specialization is Eyewear Supplier, and the corresponding taxonomy code that categorizes this field of practice is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508927286 to Cascade Ophthalmology Pc?
The Centers for Medicare & Medicaid Services originally issued the 1508927286 to Cascade Ophthalmology Pc on 2006-12-13.
As of what date were the Cascade Ophthalmology Pc's details last updated?
The information pertaining to the Cascade Ophthalmology Pc, including its address, specialty, and other details, was most recently updated on 2015-09-30.
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