Cedar Run Eye Center Optical in Traverse City, MI - Medicare Eyewear Supplier Provider

Cedar Run Eye Center Optical is a medicare enrolled "Eyewear Supplier" provider in Traverse City, Michigan. Their current practice location is 3830 W Front St, Traverse City, Michigan. You can reach out to their office (for appointments etc.) via phone at (231) 929-3888.

Cedar Run Eye Center Optical is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Cedar Run Eye Center Optical is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1215157367.

Contact Information

	Cedar Run Eye Center Optical
	3830 W Front St, Traverse City, MI 49684-8153
	(231) 929-3888
	(231) 929-4365

Healthcare Provider's Profile

Full Name	Cedar Run Eye Center Optical
Type	Facility
Speciality	Eyewear Supplier
Location	3830 W Front St, Traverse City, Michigan
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215157367
Provider Enumeration Date: 04/30/2007
Last Update Date: 11/30/2009

Medicare PECOS Information:

PECOS PAC ID: 8527165000
Enrollment ID: O20100930100408

Medical Identifiers

Medical identifiers for Cedar Run Eye Center Optical such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215157367	NPI	-	NPPES
180B86357	Other	MI	BCBSM
900B863470	Other	MI	BCBSM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	(* (Not Available))	Secondary
332H00000X	Eyewear Supplier	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cedar Run Eye Center Optical is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Cedar Run Eye Center Optical Po Box 2335, Traverse City, MI 49685-2335 Ph: (231) 929-3888	Cedar Run Eye Center Optical 3830 W Front St, Traverse City, MI 49684-8153 Ph: (231) 929-3888

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Cedar Run Eye Center Optical - Medicare in Traverse City, MI