Edward P Stack is a Flint, Michigan based male Ophthalmologist with 33 years of experience in Ophthalmology. He completed his graduation from Loyola University Of Chicago, Stritch School Of Medicine in 1991. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Edward P Stack is 4301065179 for Ophthalmology in Michigan. Edward P Stack is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Edward P Stack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
M.D.
Experience:
33+ years
Medical School Attended:
Loyola University Of Chicago, Stritch School Of Medicine
Graduation Year:
1991
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
5300 Gateway Ctr, Flint, Michigan, 48507-3930
Phone:
810-720-9111
Fax:
810-720-9119
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3375457658
Enrollment ID:
I20031119000687
NPI Number:
1801899885
NPI Enumeration Date:
24 May, 2005
NPI Last Update On:
06 Dec, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edward P Stack are as mentioned below.
License Number
Specialization
State
Status
4301065179
Ophthalmology
Michigan
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Edward P Stack has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Michigan Vision Institute Pllc (1658317748)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Edward P Stack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
15474
Other
Massachusetts
SPECTERA
5100110
Other
Michigan
AETNA
4774225
Medicaid
Michigan
C6993
Other
Michigan
MCARE
6736673005
Other
Michigan
CIGNA
110201
Other
Michigan
CARE CHOICES
1802511821
Other
Michigan
BCBSM
4301065179
Other
Michigan
STATE LICENSE NUMBER
000000010198
Other
Michigan
CAPE MEDICAID
028341
Other
Michigan
MIDWEST HEALTH
4604520
Medicaid
Michigan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5300 Gateway Ctr, Flint, Michigan
Zip:
48507-3930
Phone Number:
810-720-9111
Fax Number:
810-720-9119
Patients can reach Edward P Stack at 5300 Gateway Ctr, Flint, Michigan or can call to book an appointment on 810-720-9111. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.