Pediatric Ophthalmology Pc

LBN: Pediatric Ophthalmology Pc
Pediatric Ophthalmology Pc is an health care organization with primary practice located at 5050 Cascade Rd Se , Grand Rapids MI 49546-3707. The organization recently has only one registered license in Eye and Vision Services Providers / Pediatrics, which is considered as the primary health care specialty. Pediatric Ophthalmology Pc can be contacted via phone (616) 957-0866, or through Droste, Deborah M via phone (616) 957-0866.

Contact Information

Primary practice address
5050 Cascade Rd Se Grand Rapids MI 49546-3707
Phone: (616) 957-0866
Fax: (616) 957-4102
Website:
Map and Directions
Authorized official contact:
Name: Droste, Deborah M RN BSN
Phone: (616) 957-0866

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Pediatrics 152WP0200X 003979 Michigan

Profile Details

NPI number 1225278880
LBN Legal business name Pediatric Ophthalmology Pc
DBA Doing business as
Authorized official Droste, Deborah M RN BSN
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2009
Last updated Apr 21st, 2020 - about 5 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 1225278880 NPPES
Michigan MEDICAID 2636622

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