Provider Demographics
NPI:1467432187
Name:BIRCHMEIER, JOHN E (OD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:E
Last Name:BIRCHMEIER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8491 W GRAND RIVER AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-4326
Mailing Address - Country:US
Mailing Address - Phone:810-227-2424
Mailing Address - Fax:810-227-5430
Practice Address - Street 1:8491 W GRAND RIVER AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-4326
Practice Address - Country:US
Practice Address - Phone:810-227-2424
Practice Address - Fax:810-227-5430
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901002516152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIJB002516OtherBCBS
MIN78880001Medicare PIN
MIJB002516OtherBCBS
MIU33214Medicare UPIN