is a Optometrist in Marshall, Michigan. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for is 1578720538. The last update date is .
's current location address is 15865 W Michigan Ave, Marshall, Michigan. You can contact this provider via phone number 2697816644 and fax number 2697810130. The mailing address for is 15865 W Michigan Ave, Marshall, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 15865 W Michigan Ave, Marshall, Michigan |
| Phone Number | 2697816644 |
| Fax Number | 2697810130 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1578720538 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 15865 W Michigan Ave |
|---|---|
| City | Marshall |
| State | Michigan (MI) |
| Post Code | 49068 |
| Phone Number | 2697816644 |
| Fax Number | 2697810130 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 4901002965 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 900A36510 | MI | BLUE CROSS BLUE SHIELD | |
| 2813656 | MI | -- |
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