Daniel James Van Elk (NPI# 1194216937, PAC ID# 6901130913) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1194216937 |
| PAC ID by PECOS | 6901130913 |
| Professional Enrollment ID | I20190625003467 |
| Full Name | Daniel James Van Elk |
| Organization Legal Name | GREAT LAKES EYE CARE PC |
| Address |
2848 Niles Rd Saint Joseph MI 49085-3352 |
| Phone Number | 2694283300 |
| Gender | M |
| Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
| Graduation Year | 2018 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8426091992 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 120 Longmeadow Village Dr, Niles, MI 49120-7808 | 2696846400 | GREAT LAKES EYE CARE PC |
| 2848 Niles Rd, Saint Joseph, MI 49085-3352 | 2694283300 | GREAT LAKES EYE CARE PC |
| Organization Legal Name | GREAT LAKES EYE CARE PC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Nicholson | Ophthalmology | Great Lakes Eye Care PC | 2848 Niles Rd, Saint Joseph, MI 49085-3352 |
| Michael Scott Seward | Ophthalmology | Great Lakes Eye Care PC | 2848 Niles Rd, Saint Joseph, MI 49085-3352 |
| David N Brown | Ophthalmology | Great Lakes Eye Care PC | 2848 Niles Rd, Saint Joseph, MI 49085-3352 |
| Duane Allen Tolsma | Optometry | Great Lakes Eye Care PC | 2848 Niles Rd, Saint Joseph, MI 49085-3352 |
| Stanley W Pletcher | Ophthalmology | Great Lakes Eye Care PC | 2848 Niles Rd, Saint Joseph, MI 49085-3352 |
| John William Marohn | Optometry | Great Lakes Eye Care PC | 2848 Niles Rd, Saint Joseph, MI 49085-3352 |
| Ronald L Mckey | Ophthalmology | Great Lakes Eye Care PC | 2848 Niles Rd, Saint Joseph, MI 49085-3352 |
| David Locke Cooke | Ophthalmology | Great Lakes Eye Care PC | 2848 Niles Rd, Saint Joseph, MI 49085-3352 |
| Andrew M Wang | Ophthalmology | Great Lakes Eye Care PC | 2848 Niles Rd, Saint Joseph, MI 49085-3352 |
| Street Address |
2848 NILES RD |
| City | SAINT JOSEPH |
| State | MI |
| Zip | 49085-3352 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Nicholson | Ophthalmology | Great Lakes Eye Care PC | 2848 Niles Rd, Saint Joseph, MI 49085-3352 |
| Michael Scott Seward | Ophthalmology | Great Lakes Eye Care PC | 2848 Niles Rd, Saint Joseph, MI 49085-3352 |
| David N Brown | Ophthalmology | Great Lakes Eye Care PC | 2848 Niles Rd, Saint Joseph, MI 49085-3352 |
| Duane Allen Tolsma | Optometry | Great Lakes Eye Care PC | 2848 Niles Rd, Saint Joseph, MI 49085-3352 |
| Stanley W Pletcher | Ophthalmology | Great Lakes Eye Care PC | 2848 Niles Rd, Saint Joseph, MI 49085-3352 |
| John William Marohn | Optometry | Great Lakes Eye Care PC | 2848 Niles Rd, Saint Joseph, MI 49085-3352 |
| Ronald L Mckey | Ophthalmology | Great Lakes Eye Care PC | 2848 Niles Rd, Saint Joseph, MI 49085-3352 |
| David Locke Cooke | Ophthalmology | Great Lakes Eye Care PC | 2848 Niles Rd, Saint Joseph, MI 49085-3352 |
| Andrew M Wang | Ophthalmology | Great Lakes Eye Care PC | 2848 Niles Rd, Saint Joseph, MI 49085-3352 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Paul Bringard | Optometry | Rx Optical Laboratories, Inc. | 2008 Washington, St Joseph, MI 49085 |
| Heather L Cotter | Optometry | Rx Optical Laboratories, Inc. | 2008 Washington, St Joseph, MI 49085 |
| Bruce P Hackworth | Psychologist, Clinical | 811 Ship St, 4b, Saint Joseph, MI 49085-1171 | |
| Thomas E Wilson | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Erik T Hudak | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Heather M Hudak | Chiropractic | Hudak Chiropractic Clinic PC | 804 Elm St, St Joseph, MI 49085-1227 |
| Gary Paul Ludwig | Optometry | 1101 Main St, Saint Joseph, MI 49085-1509 | |
| Janel L Benore | Physical Therapy | 616 Main St, Saint Joseph, MI 49085-1595 | |
| Susan L Startup | Clinical Social Worker | 1901 Niles Ave, Suite 102, Saint Joseph, MI 49085-1615 | |
| Craig F Sherwood | Podiatry | 1901 Niles Ave, Saint Joseph, MI 49085-1615 | |
| Find all physicians in zip 49085 | |||
| City | SAINT JOSEPH |
| Zip Code | 49085 |
| Specialty | OPTOMETRY |
| City + Specialty | SAINT JOSEPH + 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.