DR. JESSICA MARY BEARER (NPI# 1093880080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093880080 |
| Entity Type | Individual |
| Full Name | DR. JESSICA MARY BEARER |
| Other Name | DR. JESSICA MARY WHITTEMORE |
| Credential | OD |
| Practice Address |
12606 Holly Rd Grand Blanc MI 48439 |
| Mailing Address |
12606 Holly Rd Grand Blanc MI 48439-2447 |
| Practice Telephone | 8106943652 |
| Practice Fax Number | 8106940963 |
| Mailing Telephone | 8106943652 |
| Mailing Fax Number | 8106940963 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2009-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004285 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4859224 | 05 | |
| MI | BCBS | 900B513330 | 01 |
| MI | HEALTH PLUS OF MI | 01003607 | 01 |
| Street Address |
12606 HOLLY RD |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013135870 | Grand Blanc Vision Clinic P.C. | Optometrist | 12606 Holly Rd, Grand Blanc, MI 48439-2447 | 2007-04-24 |
| 1902971997 | Daniel L Markley | Optometrist | 12606 Holly Rd, Grand Blanc, MI 48439-2447 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285709279 | James E Owen | Optometrist | 12606 Holly Road, Grand Blanc, MI 48439 | 2006-11-22 |
| 1114019114 | Ann A Walker | Optometrist | 11225 S Saginaw St, Grand Blanc, MI 48439-1285 | 2006-09-28 |
| 1104867209 | Richard James Neuenfeldt | Optometrist | 12830 S Saginaw St, Suite C, Grand Blanc, MI 48439-2415 | 2006-06-09 |
| 1356993646 | David Alan Smith | Optometrist | 6160 S Saginaw Rd, Grand Blanc, MI 48439-7026 | 2019-07-16 |
| 1639637572 | Saly Elias | Optometrist | 6315 Dort Hwy, Grand Blanc, MI 48439-2704 | 2019-03-11 |
| 1265928717 | Timothy Drew Walker | Optometrist | 11225 S Saginaw St, Grand Blanc, MI 48439-1285 | 2018-07-09 |
| 1902327513 | Matthew John Agnone | Optometrist | 11225 S Saginaw St, Grand Blanc, MI 48439-1285 | 2017-07-05 |
| 1326482738 | Jacqueline Wodyka | Optometrist | 6160 S Saginaw Rd, Grand Blanc, MI 48439-7026 | 2013-04-29 |
| 1013135870 | Grand Blanc Vision Clinic P.C. | Optometrist | 12606 Holly Rd, Grand Blanc, MI 48439-2447 | 2007-04-24 |
| 1902971997 | Daniel L Markley | Optometrist | 12606 Holly Rd, Grand Blanc, MI 48439-2447 | 2006-11-22 |
| Find all providers in GRAND BLANC | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.