Angela Dena Iceberg in Ortonville - Optometrist
Angela Dena Iceberg - NPI 1598787749
Angela Dena Iceberg is a Optometrist in Ortonville, Michigan. Angela Dena Iceberg practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Angela Dena Iceberg is 1598787749. The last update date is 2018-09-20.
Angela Dena Iceberg's current location address is 227 Corey Ln, Ortonville, Michigan. You can contact this provider via phone number 2488844246. The mailing address for Angela Dena Iceberg is 227 Corey Ln, Ortonville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela Dena Iceberg |
|---|---|
| Address | 227 Corey Ln, Ortonville, Michigan |
| Phone Number | 2488844246 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1598787749 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2018-09-20 |
Provider Mailing Address Detail
| Address | 227 Corey Ln |
|---|---|
| City | Ortonville |
| State | Michigan (MI) |
| Post Code | 484629707 |
| Phone Number | 2488844246 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 5330000481 |
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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 |
|---|---|---|---|
| MI1300001 | MI | MEDICARE PTAN |
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What is the unique identifier code issued to Angela Dena Iceberg by the Centers for Medicare & Medicaid Services?
The Angela Dena Iceberg has been assigned the NPI (National Provider Identifier) 1598787749. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Angela Dena Iceberg's facilities are situated?
The facilities of Angela Dena Iceberg are physically located at the following address: 227 Corey Ln, Ortonville, MI, 484629707.
What is Angela Dena Iceberg's area of expertise and its corresponding taxonomy classification?
The Angela Dena Iceberg's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Angela Dena Iceberg receive the assignment of its 1598787749 from the Centers for Medicare & Medicaid Services?
The Angela Dena Iceberg was issued its 1598787749 by the Centers for Medicare & Medicaid Services on 2006-07-24.
As of what date were the Angela Dena Iceberg's details last updated?
The information pertaining to the Angela Dena Iceberg, including its address, specialty, and other details, was most recently updated on 2018-09-20.
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