MANCHESTER EYE CARE CENTER P.C. NPI 1003082447

NPI Information

  • NPI: 1003082447
  • Provider Name: MANCHESTER EYE CARE CENTER, P.C.
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 110 RIVERSIDE DR
    MANCHESTER, MI
    ZIP 48158
  • Phone: (734) 428-2020

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NPI Details

MANCHESTER EYE CARE CENTER, P.C. is a clinic center in Manchester, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MANCHESTER EYE CARE CENTER, P.C. NPI is 1003082447. The provider is registered as an organization entity type.

The provider's business location address is:

110 RIVERSIDE DR
MANCHESTER, MI
ZIP 48158-776
Phone: (734) 428-2020
Fax: (734) 428-8955

The provider's authorized official is Julie Ann Marvin-manders .
The authorized official title is Owner and has the following contact phone number (734) 428-2020.

The enumeration date for this NPI number is 5/6/2008 and was last updated on 5/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center4901003224MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T96957MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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