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BLUE WATER EYE CARE ASSOCIATES PC NPI 1104081819


NPI Information

NPI: 1104081819
Provider Name: BLUE WATER EYE CARE ASSOCIATES PC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
2609 ELECTRIC AVE
SUITE A
PORT HURON, MI
ZIP 48060
Phone: (810) 982-1300
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BLUE WATER EYE CARE ASSOCIATES PC is an ophthalmology in Port Huron, MI. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. BLUE WATER EYE CARE ASSOCIATES PC NPI is 1104081819. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2609 ELECTRIC AVE
SUITE A
PORT HURON, MI
ZIP 48060-589
Phone: (810) 982-1300
Fax: (810) 982-9802

The provider's authorized official is Katy S Brochu .
The authorized official title is Billing and has the following contact phone number (810) 982-1300.

The enumeration date for this NPI number is 7/22/2008 and was last updated on 2/20/2020.


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
1207W00000XOphthalmologyYes

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: 5/5/2024

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