Nicole Marie Bennett Gdowski (NPI# 1508154246, PAC ID# 6901076348) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1508154246 |
PAC ID by PECOS | 6901076348 |
Professional Enrollment ID | I20110823000442 |
Full Name | Nicole Marie Bennett Gdowski |
Organization Legal Name | LIFETIME EYECARE PC |
Address |
597 Baldwin St Jenison MI 49428-7994 |
Phone Number | 6164570760 |
Gender | F |
Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
Graduation Year | 2011 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 7810963832 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
597 Baldwin St, Jenison, MI 49428-7994 | 6164570760 | LIFETIME EYECARE PC |
Organization Legal Name | LIFETIME EYECARE PC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Allen R Smith | Optometry | Lifetime Eyecare PC | 597 Baldwin St, Jenison, MI 49428-7994 |
Street Address |
597 BALDWIN ST |
City | JENISON |
State | MI |
Zip | 49428-7994 |
Name | Specialty | Organization | Address |
---|---|---|---|
Allen R Smith | Optometry | Lifetime Eyecare PC | 597 Baldwin St, Jenison, MI 49428-7994 |
Marek A Stawiski | Dermatology | Psoriasis and Eczema Treatment Center of Western Michigan Pllc | 597 Baldwin St, Jenison, MI 49428-7994 |
Name | Specialty | Organization | Address |
---|---|---|---|
Eric R Hartman | Chiropractic | Eric R Hartman, Dc, Pllc | 302 Baldwin St, Jenison, MI 49428-7909 |
Rebecca Lyn Warnecke | Chiropractic | Eric R Hartman, Dc, Pllc | 302 Baldwin St, Jenison, MI 49428-7909 |
Bethany Soule Duyser | Nurse Practitioner | Spectrum Health Primary Care Partners | 725 Baldwin St, Jenison, MI 49428-7945 |
Mary Manilla | Nurse Practitioner | Spectrum Health Primary Care Partners | 725 Baldwin St, Jenison, MI 49428-7945 |
Matthew W Medley | Family Medicine | Metropolitan Hospital | 7686 Georgetown Ctr Dr, Jenison, MI 49428-8101 |
Robert C Huizenga | Optometry | 7673 Georgetown Ctr Dr, Jenison, MI 49428-8101 | |
Megan K Mouser | Nurse Practitioner | Metropolitan Hospital | 7686 Georgetown Ctr Dr, Jenison, MI 49428-8101 |
Karl O Breitweiser | Family Medicine | Metropolitan Hospital | 7686 Georgetown Ctr Dr, Jenison, MI 49428-8101 |
Diana L Dillman | Family Medicine | Metropolitan Hospital | 7686 Georgetown Ctr Dr, Jenison, MI 49428-8101 |
James H Waswick | Chiropractic | 6491 B San Ru Ave, Jenison, MI 49428-8185 | |
Find all physicians in zip 49428 |
City | JENISON |
Zip Code | 49428 |
Specialty | OPTOMETRY |
City + Specialty | JENISON + 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.