Lee R Goodfellow is a Grand Rapids, Michigan based male Optometrist with 36 years of experience in Optometry. He completed his graduation from Ferris State College - College Of Optometry in 1988. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lee R Goodfellow is 4901003189 for Optometry in Michigan. Lee R Goodfellow examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Lee R Goodfellow 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:
Optometry
Credentials:
O.D.
Experience:
36+ years
Medical School Attended:
Ferris State College - College Of Optometry
Graduation Year:
1988
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
6680 Division Ave S, Grand Rapids, Michigan, 49548-7834
Phone:
616-455-2525
Fax:
616-455-9135
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:
0042353138
Enrollment ID:
I20100806000883
NPI Number:
1427146521
NPI Enumeration Date:
11 Oct, 2006
NPI Last Update On:
05 Jun, 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 Lee R Goodfellow are as mentioned below.
License Number
Specialization
State
Status
4901003189
Optometry
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 Lee R Goodfellow has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Cutlerville Eyecare, P.c. (8224171319)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Lee R Goodfellow such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
OD16514
Other
BCBS
410021740
Other
RAILROAD MEDICARE
2589040
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:
6680 Division Ave S, Grand Rapids, Michigan
Zip:
49548-7834
Phone Number:
616-455-2525
Fax Number:
616-455-9135
Patients can reach Lee R Goodfellow at 6680 Division Ave S, Grand Rapids, Michigan or can call to book an appointment on 616-455-2525. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
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