2001 COOLIDGE RD
EAST LANSING, MI 48823-1378 US PECOS Enrolled
Overview
Bridget Caroline Grubb is a Optometrist in the EAST LANSING area. Bridget Caroline Grubb primary office location is at 2001 COOLIDGE RD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1164151346 and the information was updated approximately 1 year ago.
Bridget Caroline Grubb is affiliated with one medical group in the EAST LANSING area, LANSING OPHTHALMOLOGY, PC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 4901005567 | MI |
| Type/Issuer | Identifier | State |
|---|---|---|
| STATE LICENSE | 4901005567 | MI |
| Taxonomy | State | Primary? |
|---|---|---|
| Optometrist - Taxonomy Code 152W00000X | MI | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20220622002917 |
| PECOS Individual PAC ID: | 4183003114 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
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