Provider Demographics
NPI:1235230350
Name:RAPIDS OPHTHALMOLOGY, P.C.
Entity Type:Organization
Organization Name:RAPIDS OPHTHALMOLOGY, P.C.
Other - Org Name:CREW EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:EICHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-796-0010
Mailing Address - Street 1:650 LINDEN ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BIG RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49307-1880
Mailing Address - Country:US
Mailing Address - Phone:231-796-0010
Mailing Address - Fax:231-796-2496
Practice Address - Street 1:650 LINDEN ST
Practice Address - Street 2:SUITE 5
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307
Practice Address - Country:US
Practice Address - Phone:231-796-0010
Practice Address - Fax:231-796-2496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI180036284OtherMEDICARE RAILROAD
MICG0293OtherMEDICARE RAILROAD
MI0E40038OtherBCBSM - OPTOMETRISTS
MI1235230350OtherCOMMERCIAL INSURERS
MI0E41065OtherBCBSM - OPHTHALMOLOGISTS
MI1280290002OtherMEDICARE NSC - HOWARD CITY
MI0E40038OtherBCBSM - OPTOMETRISTS
MI180036284OtherMEDICARE RAILROAD
MI1280290001Medicare NSC