St Clair Eye PLLC
A Medicare group practice based in Casco, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3577674597), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3577674597
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MI
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20110427000476 | MI | Part B Supplier - Clinic/Group Practice | 1619270972 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
St Clair Eye PLLC
- Optometrist
- Casco, MI
- NPI 1619270972
-
St Clair Eye PLLC
- Optometrist
- Saint Clair, MI
- NPI 1730264995
Practice locations
- Saint Clair, MI1
- Casco, MI1
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).
-
Liesl A Black, O.D.
- Optometrist
- Casco, MI
- NPI 1912529512
-
Michael M Caister, O.D.
- Optometrist
- Saint Clair, MI
- NPI 1285813162
-
Lindsey Ellicott-Gasta, O.D.
- Optometrist
- Casco, MI
- NPI 1174908057
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.