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MID MICHIGAN FAMILY EYE CARE PLLC NPI 1356698534


NPI Information

NPI: 1356698534
Provider Name: MID MICHIGAN FAMILY EYE CARE PLLC

Doing Business As: MID MICHIGAN EYE

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
334 N ROSS ST
BEAVERTON, MI
ZIP 48612
Phone: (989) 435-2020
Get Directions

MID MICHIGAN FAMILY EYE CARE PLLC is an optometrist in Beaverton, MI. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. MID MICHIGAN FAMILY EYE CARE PLLC NPI is 1356698534. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mid Michigan Eye.

The provider's business location address is:

334 N ROSS ST
BEAVERTON, MI
ZIP 48612-165
Phone: (989) 435-2020
Fax: (989) 435-2554

The provider's authorized official is Brian Michael Hales .
The authorized official title is Optometrist and has the following contact phone number (989) 435-2020.

The enumeration date for this NPI number is 8/7/2012 and was last updated on 6/28/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist4901004640MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16745560001MEDICARE NSCMICHIGAN
2MI6157MEDICARE PINMICHIGAN
3DT3043MEDICARE PINMICHIGAN
40A80041OTHERMICHIGANBLUECROSS BLUESHIED
5MI6157MEDICARE OSCAR/CERTIFICATIONMICHIGAN
61356698534MEDICAIDMICHIGAN

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: 4/28/2024

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