REBECCA A JACQUEMIN (NPI# 1366508822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366508822 |
| Entity Type | Individual |
| Full Name | REBECCA A JACQUEMIN |
| Other Name | REBECCA A DIGNUM |
| Credential | OD |
| Practice Address |
11971 James St Holland MI 49424-9610 |
| Practice Telephone | 6163950606 |
| Practice Fax Number | 6163950070 |
| Mailing Telephone | 6163950606 |
| Mailing Fax Number | 6163950070 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2010-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004404 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | TAX ID | 204829649 | 01 |
| MI | 5175716 | 05 |
| Street Address |
11971 JAMES ST |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424-9610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205807955 | Dirk Schrotenboer | Optometrist | 11971 James St, Holland, MI 49424-9610 | 2006-01-31 |
| 1518581131 | Equilibrium Physical Therapy, Plc | Clinic/Center | 11971 James St, Holland, MI 49424-9610 | 2020-05-29 |
| 1760668016 | Lakeshore Eyecare Center P C | Optometrist | 11971 James St, Holland, MI 49424-9610 | 2008-01-17 |
| 1083784821 | Erin Elizabeth Lamb | Physical Therapist | 11971 James St, Holland, MI 49424-9610 | 2006-11-09 |
| 1396792206 | Associated Retinal Consultants, PC | Ophthalmology | 11971 James St, Holland, MI 49424-9610 | 2006-05-27 |
| 1346299492 | Laurie A B Birkholz | Family Medicine | 11971 James St, Holland, MI 49424-9610 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| 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 |
|---|---|---|---|---|
| 1184232381 | Afra Hussain | Optometrist | 1460 Spring Meadows Dr Unit E100, Holland, OH 43528-9478 | 2020-07-14 |
| 1891285623 | Rx Optical Laboratories, Inc. | Optometrist | 590 E 16th St Ste 20, Holland, MI 49423-3702 | 2018-05-17 |
| 1174025100 | Samantha Hoelzer | Optometrist | 1460 Spring Meadows Drive, E100, Holland, OH 43528 | 2018-03-06 |
| 1437696242 | Daniel & Max, LLC | Optometrist | 6515 Airport Hwy Ste B, Holland, OH 43528-9394 | 2017-01-31 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1710128111 | West Coast Eyecare Pllc | Optometrist | 456 E 16th St Ste 1, Holland, MI 49423-3788 | 2009-03-13 |
| 1821147646 | Kathryn Mulder Dejonge | Optometrist | 855 Washington Ave, Holland, MI 49423-7134 | 2007-01-10 |
| 1811054794 | Rx Optical Laboratories, Inc. | Optometrist | 12659 Riley St, Holland, MI 49424-9215 | 2007-01-02 |
| 1427114594 | Rx Optical Laboratories, Inc. | Optometrist | 1148 Washington Ave, Holland, MI 49423-7728 | 2006-12-31 |
| 1720163199 | Goodwill Optical Inc | Optometrist | 393 E Lakewood Blvd, Holland, MI 49424-2002 | 2006-10-26 |
| Find all providers in HOLLAND | ||||
Please comment or provide details below to improve the information on REBECCA A JACQUEMIN.
| 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.