Organization
CEDAR RUN EYE CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY B. HANLEY M.D. (OWNER)
(231) 929-3888
Entity
Organization
Contact information
Practice address
3830 W FRONT ST, TRAVERSE CITY, MI 49684-8153
(231) 929-3888
(231) 929-4365
Mailing address
3830 W FRONT ST, TRAVERSE CITY, MI 49684-8153
(231) 929-3888
(231) 929-4365
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901003086
MI
152W00000X
Optometrist
4901003094
MI
152W00000X
Optometrist
4901004107
MI
207W00000X
Ophthalmology Physician
Primary
4301048021
MI
332B00000X
Durable Medical Equipment & Medical Supplies
4301048021
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1020070001
DMERC REGION B
MI
01
—
102022
PREFERRED CHOICE
MI
05
—
103164508
—
MI
01
—
1134113517
RAILROAD MEDICARE/CIZEK
MI
01
—
1144214180
RAILROAD MEDICARE/HANLEY
MI
01
—
1497736102
RAILROAD MEDICARE/HUMMEL
MI
01
—
180B86357
BCBS TBH
MI
01
—
900001413
PRIORITY - CREC
MI
01
—
900B86347
BCBS OPTOM GROUP
MI
01
—
900B86347001
BCBSM
MI
01
—
900B86347003
BCBSM
MI
05
—
943166469
—
MI
05
—
943166487
—
MI
05
—
943166496
—
MI
01
—
CG1308
RAILROAD MEDICARE/TSC
MI
01
—
CN1586
RAILROAD MEDICARE/CREC
MI
Enumeration date
12/14/2006
Last updated
05/11/2015
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