Dale L Wittkop in Allegan - Optometrist

Dale L Wittkop - NPI 1447256136

Dale L Wittkop is a Optometrist in Allegan, Michigan. Dale L Wittkop practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Dale L Wittkop is 1447256136. The last update date is 2012-02-14.

Dale L Wittkop's current location address is 123 Locust St, Allegan, Michigan. You can contact this provider via phone number 2696735100 and fax number 2696731806. The mailing address for Dale L Wittkop is 123 Locust St, Allegan, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Dale L Wittkop
Address 123 Locust St, Allegan, Michigan
Phone Number 2696735100
Fax Number 2696731806
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1447256136
Provider Enumeration Date 2005-06-27
Last Updated Date 2012-02-14

Provider Mailing Address Detail

Address 123 Locust St
City Allegan
State Michigan (MI)
Post Code 490101301
Phone Number 2696735100
Fax Number 2696731806

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 49010003042
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
900Z310140 BCBS OF MICHIGAN
900Z365250 MI BCBS OF MICHIGAN
944193774 MI --

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FAQs about Dale L Wittkop

What is the unique 10-digit identification code issued to Dale L Wittkop by the Centers for Medicare & Medicaid Services?

The Dale L Wittkop has been assigned the NPI (National Provider Identifier) 1447256136 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Dale L Wittkop's facilities are geographically located?

The facilities of Dale L Wittkop are physically situated at the following location: 123 Locust St, Allegan, MI, 490101301.

What is Dale L Wittkop's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Dale L Wittkop is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.

When was the Dale L Wittkop's 1447256136 issued?

The Dale L Wittkop's 1447256136 was issued on 2005-06-27.

When was the information regarding Dale L Wittkop most recently updated?

The details pertaining to the Dale L Wittkop, including its address, specialty, and other relevant information, were last refreshed on 2012-02-14.

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