Individual
EMILY RENAE GILLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5100 28TH ST SE, GRAND RAPIDS, MI 49512-2049
(616) 233-4403
Mailing address
220 MARCELL DR NE APT 2, ROCKFORD, MI 49341-1375
(810) 814-1266
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004898
MI
152WC0802X
Corneal and Contact Management Optometrist
4901004898
MI
152WP0200X
Pediatric Optometrist
4901004898
MI
152WX0102X
Occupational Vision Optometrist
4901004898
MI
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us