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THORNAPPLE OPHTHALMOLOGY ASSOC PC NPI 1396832937


NPI Information

NPI: 1396832937
Provider Name: THORNAPPLE OPHTHALMOLOGY ASSOC PC

Doing Business As: ADVANCED EYECARE PROFESSIONALS

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 23D2082597

Address:
915 W GREEN ST
SUITE 101
HASTINGS, MI
ZIP 49058
Phone: (269) 945-3866
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THORNAPPLE OPHTHALMOLOGY ASSOC PC is an ophthalmology in Hastings, 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. THORNAPPLE OPHTHALMOLOGY ASSOC PC NPI is 1396832937. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Advanced Eyecare Professionals.

The provider's business location address is:

915 W GREEN ST
SUITE 101
HASTINGS, MI
ZIP 49058-724
Phone: (269) 945-3866

The provider's authorized official is Steven M Flohr .
The authorized official title is Practice Administrator and has the following contact phone number (616) 897-7000.

The CLIA number assigned to this NPI record is 23D2082597 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2006 and was last updated on 4/28/2014.


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
1152W00000XOptometrist4901004379MICHIGANNo
2152W00000XOptometrist4901004439MICHIGANNo
3207W00000XOphthalmology4301047122MICHIGANYes

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
10171290004MEDICARE NSCMICHIGAN
2A73646MEDICARE UPINMICHIGAN
30171290003MEDICARE NSCMICHIGAN
4102575680MEDICAIDMICHIGAN
50171290001MEDICARE NSCMICHIGAN
60M43420MEDICARE PINMICHIGAN

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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