Individual
DR. RACHEL GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
750 E BELTLINE AVE NE, STE 202, GRAND RAPIDS, MI 49525-6049
(616) 588-6542
(616) 365-2076
Mailing address
750 E BELTLINE AVE NE, STE 202, GRAND RAPIDS, MI 49525-6046
(616) 949-2600
(616) 954-0213
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004106
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4803926
—
MI
01
—
900D111550
BCBS
MI
01
—
P00192048
MEDICARE RR
MI
Enumeration date
05/31/2005
Last updated
02/26/2025
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