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:
Map and Directions
Authorized official contact:
Name: Ventocilla, Mark A Doctor of Optometry (OD)
Phone: (616) 502-0069

Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
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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