Benjamin James Sikkenga (NPI# 1508343047, PAC ID# 2163772518) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1508343047 |
PAC ID by PECOS | 2163772518 |
Professional Enrollment ID | I20180905001408 |
Full Name | Benjamin James Sikkenga |
Organization Legal Name | LAKESHORE PROFESSIONAL EYECARE PC |
Address |
38 Division Hesperia MI 49421 |
Phone Number | 2318543000 |
Gender | M |
Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
Graduation Year | 2018 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 7618014937 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
38 Division, Hesperia, MI 49421 | 2318543000 | LAKESHORE PROFESSIONAL EYECARE PC |
951 Seminole Rd, Suite 1, Muskegon, MI 49441-4341 | 2317804700 | LAKESHORE PROFESSIONAL EYECARE PC |
Organization Legal Name | LAKESHORE PROFESSIONAL EYECARE PC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Douglas L Totten | Optometry | Lakeshore Professional Eyecare PC | 951 Seminole Rd, Suite 1, Muskegon, MI 49441-4341 |
Wayne S Jackson | Optometry | Lakeshore Professional Eyecare PC | 951 Seminole Rd, Muskegon, MI 49441-4341 |
Street Address |
38 DIVISION |
City | HESPERIA |
State | MI |
Zip | 49421 |
Name | Specialty | Organization | Address |
---|---|---|---|
Damian A Palmer | Chiropractic | 81 W S Ave, Hesperia Chiropractic Life Center, Hesperia, MI 49421-9702 |
City | HESPERIA |
Zip Code | 49421 |
Specialty | OPTOMETRY |
City + Specialty | HESPERIA + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.