Northshore Optometry Llc in N Muskegon - Point Of Service

Northshore Optometry Llc - NPI 1114103140

Northshore Optometry Llc is a Point Of Service in N Muskegon, Michigan. Northshore Optometry Llc practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for Northshore Optometry Llc is 1114103140. The last update date is 2014-03-12.

Northshore Optometry Llc's current location address is 1179 Whitehall Rd, N Muskegon, Michigan. You can contact this provider via phone number 2317443573. The mailing address for Northshore Optometry Llc is 1179 Whitehall Rd, N Muskegon, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northshore Optometry Llc
Address 1179 Whitehall Rd, N Muskegon, Michigan
Phone Number 2317443573
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Swain Marie Korinne
Credentials O.D.
Telephone Number 2317443573

NPI Number Detail

NPI Number 1114103140
Provider Enumeration Date 2008-01-22
Last Updated Date 2014-03-12

Provider Mailing Address Detail

Address 1179 Whitehall Rd
City N Muskegon
State Michigan (MI)
Post Code 494452497
Phone Number 2317443573
Fax Number

Provider's Primary Taxonomy Detail

Speciality Point Of Service
Taxonomy 305S00000X
Licence No 49010003090
Definition:
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1806648 MI --

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FAQs about Northshore Optometry Llc

What is the unique 10-digit identification code issued to Northshore Optometry Llc by the Centers for Medicare & Medicaid Services?

The Northshore Optometry Llc has been assigned the NPI (National Provider Identifier) 1114103140 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 Northshore Optometry Llc is physically located?

The Northshore Optometry Llc is situated at the following address: 1179 Whitehall Rd, N Muskegon, MI 494452497.

What is Northshore Optometry Llc'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 Northshore Optometry Llc is Point Of Service, and the taxonomy classification code that categorizes this area of expertise is 305S00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1114103140 to Northshore Optometry Llc?

The Northshore Optometry Llc received its 1114103140 assignment from the Centers for Medicare & Medicaid Services on 2008-01-22.

When was the information pertaining to Northshore Optometry Llc most recently updated or revised?

The details related to Northshore Optometry Llc, including its address, specialty, and other relevant information, were last updated or revised on 2014-03-12.

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