Andrew S Riemer DO PC
Organization Active NPI Ophthalmology Physician · Manistee, MI
NPI 1528082070 · NPPES record last updated Jun 14, 2010
Key facts
- NPI
- 1528082070
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- ANDREW S RIEMER DO PC
- Practice address
- 1352 E Parkdale Ave
Manistee, MI 49660 - Phone
- (231) 723-8363
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Andrew S Riemer, DO
- Title
- Ceo
- Phone
- (231) 845-6261
Other NPIs on the same Medicare enrollment 2
Practitioners 4
-
Greg M. Noah, O.D.
-
Julie P Ritter, O.D.
-
Carl Walter Wilberg, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040727001267 | MI | Part B Supplier - Clinic/Group Practice | 8729058839 |
Receives reassigned benefits from 9 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cadillac, MI; Ludington, MI; Manistee, MI; Reed City, MI; Shelby, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | |||
| Ophthalmology Physician |
207W00000X | Yes |
Addresses
Primary practice location
1352 E Parkdale Ave
Manistee, MI 49660
Mailing address
5959 Lawndale St
Ludington, MI 49431-2921
Phone (231) 845-6261
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4921652 | Medicaid | MI | |
| 180E300150 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| 900E300160 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| 820000297 | Other | MI | RAILROAD MEDICARE |
| 180E310290 | Other | MI | BCBS OF MICHIGAN |
| 900F410030 | Other | MI | BCBS OF MICHIGAN |
Other providers in Manistee, MI
- Ambersource, PLLC
- Amy L Beeman DO PLLC
- Kimberly S. Anderson
- Melda Louise Anderson
- Mitchell David Anderson
- Paul Joseph Antal
- Tina Argue
- Taylor Babashka
- Baldwin Family Health Care
- Kevin Ballmer
All providers in Manistee, 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 Jun 14, 2010. 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.