Cedar Run Eye Center

LBN: Cedar Run Eye Center
Cedar Run Eye Center is an health care organization with primary practice located at 3830 W Front St , Traverse City MI 49684-8153. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Cedar Run Eye Center can be contacted via phone (231) 929-3888, or through Grochowalski, Jennifer via phone (231) 929-3888.

Contact Information

Primary practice address
3830 W Front St Traverse City MI 49684-8153
Phone: (231) 929-3888
Fax: (231) 929-4365
Website:
Map and Directions
Authorized official contact:
Name: Grochowalski, Jennifer
Phone: (231) 929-3888

Health care specialties

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

Profile Details

NPI number 1265653224
LBN Legal business name Cedar Run Eye Center
DBA Doing business as
Authorized official Grochowalski, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2007
Last updated Aug 22nd, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265653224 NPPES
Michigan Other 900B86347 BCBS
Michigan MEDICAID 3166478 BCBS
Michigan MEDICAID 3166469 BCBS
Michigan MEDICAID 4977003 BCBS
Michigan MEDICAID 4976991 BCBS

Popular Providers