Myeyedr Optometry of Michigan LLC

A Medicare group practice based in Grand Rapids, MI: 67 NPIs enrolled under one PECOS associate control ID (PAC ID 7416288949), with 139 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7416288949The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
Enrolled in
MI
Enrollments
9
Group size
58 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
73In 46 places

Enrollment records 9

Enrollment IDStateProvider typeNPI
O20191014002048 MI Part B Supplier - Clinic/Group Practice 1639723596
O20210528002227 MI DME Supplier - Physician - Optometrist 1821673351
O20210727004010 MI DME Supplier - Physician - Optometrist 1033794540
O20210513001292 MI DME Supplier - Physician - Optometrist 1053996579
O20210513000632 MI DME Supplier - Physician - Optometrist 1730764267
O20210513000603 MI DME Supplier - Physician - Optometrist 1376128801
O20210513000586 MI DME Supplier - Physician - Optometrist 1821673302
O20210513001222 MI DME Supplier - Physician - Optometrist 1013592534
O20210514002213 MI DME Supplier - Physician - Optometrist 1740865237

NPIs in this group 67

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment
Other places (6)
  • Ionia, MI1
  • Saline, MI1
  • Shelby Township, MI1
  • Southgate, MI1
  • Hastings, MI1
  • Grand Haven, MI1

Clinicians 139

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (139) or whom Care Compare lists as members (58).

Sources for this page