PLASTIC AND RECONSTRUCTIVE EYE SURGERY PC (NPI# 1417998337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417998337 |
| Entity Type | Organization |
| Organization Name | PLASTIC AND RECONSTRUCTIVE EYE SURGERY PC |
| Practice Address |
2757 Leonard St Ne Grand Rapids MI 49525-5807 |
| Practice Telephone | 6169426687 |
| Practice Fax Number | 6169429797 |
| Mailing Telephone | 6169426687 |
| Mailing Fax Number | 6169429797 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | MELISSA LYNN MELDRUM (OWNER PRESIDENT) |
| Authorized Official Telephone | 6169426687 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAILROAD MEDICARE | DC7010 | 01 |
| MI | BCBSM | 180D117010 | 01 |
| Street Address |
2757 LEONARD ST NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-5807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023082880 | Melissa Lynn Meldrum | Ophthalmology | 2757 Leonard St Ne, Suite 300, Grand Rapids, MI 49525-5807 | 2006-02-16 |
| 1821519513 | Natalie Barbara Downs Monette | Dentist | 2757 Leonard St Ne, Ste 100, Grand Rapids, MI 49525 | 2017-07-03 |
| 1538414685 | Simple Truth Chiropractic Pllc | Chiropractor | 2757 Leonard St Ne, Suite 200, Grand Rapids, MI 49525-5807 | 2012-07-16 |
| 1518232040 | Andersen Eye Prosthetics LLC | Technician/Technologist | 2757 Leonard St Ne, Ste 300, Grand Rapids, MI 49525-5807 | 2012-03-16 |
| 1801048699 | Retina Specialists of Michigan PC | Ophthalmology | 2757 Leonard St Ne, Suite 200, Grand Rapids, MI 49525-5807 | 2008-10-13 |
| 1528284163 | Elizabeth M Bakeman | Dentist | 2757 Leonard St Ne, Grand Rapids, MI 49525-5807 | 2007-04-18 |
| 1477561140 | Adam S Hassan | Ophthalmology | 2757 Leonard St Ne, Grand Rapids, MI 49525-5807 | 2006-08-04 |
| 1851308043 | Michael L Keil Do PC | Ophthalmology | 2757 Leonard St Ne, Suite 300, Grand Rapids, MI 49525-5807 | 2006-08-01 |
| 1497720122 | Michael Louis Keil | Ophthalmology | 2757 Leonard St Ne, Suite 300, Grand Rapids, MI 49525-5807 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548756141 | Marko Habekovic Md, Pllc | Ophthalmology | 1000 E Paris Ave Se Ste 111, Grand Rapids, MI 49546-3680 | 2018-07-06 |
| 1609212208 | Mary Jia Ling Lim | Ophthalmology | 35 Michigan St Ne Ste 5101, Grand Rapids, MI 49503-2529 | 2013-05-22 |
| 1215143797 | Kathleen Urban Dehorn | Ophthalmology | 2505 East Paris Ave Se Ste 100, Grand Rapids, MI 49546-6100 | 2007-05-14 |
| 1194894055 | Michael Debre' Harrison | Ophthalmology | 435 Cherry St Se, Grand Rapids, MI 49503-4672 | 2006-11-07 |
| 1194753186 | Thomas Marshall Aaberg Jr. | Ophthalmology | 5030 Cascade Rd Se, Grand Rapids, MI 49546-3725 | 2006-06-29 |
| 1699703470 | Danny D Wang | Ophthalmology | 2727 E Beltline Ave Ne, Suite 101, Grand Rapids, MI 49525-9611 | 2006-06-29 |
| 1710913926 | Vitreo-retinal Associates P.C. | Ophthalmology | 2505 East Paris Ave Se, Suite 100, Grand Rapids, MI 49546-2459 | 2006-06-23 |
| 1255371647 | Jeffrey Daniel Zheutlin | Ophthalmology | 2505 E Paris Ave Se, Suite 100, Grand Rapids, MI 49546-2459 | 2006-06-07 |
| 1972552628 | Patrick Joseph Droste | Ophthalmology | 5050 Cascade Rd Se, Grand Rapids, MI 49546-3725 | 2006-05-09 |
| 1598727935 | Elizabeth H Henry | Ophthalmology | 791 Kenmoor Ave Se, Suite A, Grand Rapids, MI 49546-8625 | 2006-04-03 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on PLASTIC AND RECONSTRUCTIVE EYE SURGERY PC.
| 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.