Ferris State University
Organization Active NPI Ophthalmology Physician · Big Rapids, MI
NPI 1477574101 · NPPES record last updated Mar 20, 2008
Key facts
- NPI
- 1477574101
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- FERRIS STATE UNIVERSITY
- Practice address
- 1310 Cramer Circle
Pennock 506
Big Rapids, MI 49307-2738 - Phone
- (231) 591-2222
- Fax
- (231) 591-3991
- NPI assigned
- Jul 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Jennifer M Ososki, RHIA
- Title
- Medical Record Insurance Specialist
- Phone
- (231) 591-3056
Other NPIs on the same Medicare enrollment 1
Practitioners 29
-
Dominika Bizub, OD
-
Jared Freedman, OD
-
Chad J Jackson, OD
-
Jonathan Kendall, OD
-
Madeleine Seidel, OD
-
Emily Tomaselli, D.O.
-
Jason Franklin Baldwin, O.D.
-
Michael Edward Johnson, O.D.
-
Eric Syverson, O.D.
-
Jessica S Walter, OD
-
Kevin Lee Alexander, OD PHD
-
Roger Dean Kamen, OD
-
Renee Olsen Mika, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040925000091 | MI | Part B Supplier - Clinic/Group Practice | 3971572124 |
Receives reassigned benefits from 53 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Baldwin, MI; Big Rapids, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | Yes |
Addresses
Primary practice location
1310 Cramer Circle
Pennock 506
Big Rapids, MI 49307-2738
Mailing address
1310 Cramer Circle
Pennock 506
Big Rapids, MI 49307-2738
Phone (231) 591-2222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3414290 | Medicaid | MI |
Other names
- University Eye Center
Other providers in Big Rapids, MI
- Jazlyn K Ezell
- Amber Fate
- Melanie May Fawbush
- Ivy L Fedewa
- Kory John Feetham
- Ferris State University
- Ferris State University
- Ferris State University
- Ferris State University
- Ferris State University
All providers in Big Rapids, MI · Ophthalmology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.