South Michigan Ophthalmology P C in Marshall - Clinic/center
South Michigan Ophthalmology P C - NPI 1629224514
South Michigan Ophthalmology P C is a Clinic/center in Marshall, Michigan. South Michigan Ophthalmology P C practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for South Michigan Ophthalmology P C is 1629224514. The last update date is 2010-08-10.
South Michigan Ophthalmology P C's current location address is 830 W Michigan Ave, Marshall, Michigan. You can contact this provider via phone number 2697819822 and fax number 2697819835. The mailing address for South Michigan Ophthalmology P C is 830 W Michigan Ave, Marshall, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Michigan Ophthalmology P C |
|---|---|
| Address | 830 W Michigan Ave, Marshall, Michigan |
| Phone Number | 2697819822 |
| Fax Number | 2697819835 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hathaway Paul Darren |
| Credentials | M.D. |
| Telephone Number | 2697819822 |
NPI Number Detail
| NPI Number | 1629224514 |
|---|---|
| Provider Enumeration Date | 2008-08-12 |
| Last Updated Date | 2010-08-10 |
Provider Mailing Address Detail
| Address | 830 W Michigan Ave |
|---|---|
| City | Marshall |
| State | Michigan (MI) |
| Post Code | 490681446 |
| Phone Number | 2697819822 |
| Fax Number | 2697819835 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 4301073800 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4421664 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to South Michigan Ophthalmology P C by the Centers for Medicare & Medicaid Services?
The South Michigan Ophthalmology P C has been assigned the NPI (National Provider Identifier) 1629224514 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where South Michigan Ophthalmology P C is physically located?
The South Michigan Ophthalmology P C is situated at the following address: 830 W Michigan Ave, Marshall, MI 490681446.
What is South Michigan Ophthalmology P C's area of expertise and its corresponding taxonomy classification?
The South Michigan Ophthalmology P C's field of specialization is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their areas of practice.
When did South Michigan Ophthalmology P C receive its 1629224514 assignment?
The South Michigan Ophthalmology P C was assigned its 1629224514 on 2008-08-12, which is the date when this unique identifier was issued to the organization.
When was the South Michigan Ophthalmology P C's information last updated?
The South Michigan Ophthalmology P C's information was last updated on 2010-08-10.
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA