Three Rivers Eyecare Pc in Battle Creek - Eyewear Supplier
Three Rivers Eyecare Pc - NPI 1013040120
Three Rivers Eyecare Pc is a Eyewear Supplier in Battle Creek, Michigan. Three Rivers Eyecare Pc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Three Rivers Eyecare Pc is 1013040120. The last update date is 2022-07-21.
Three Rivers Eyecare Pc's current location address is 1525 A W Michigan Avenue, Battle Creek, Michigan. You can contact this provider via phone number 2699649200 and fax number 2699648818. The mailing address for Three Rivers Eyecare Pc is 1525 A W Michigan Avenue, Battle Creek, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Three Rivers Eyecare Pc |
|---|---|
| Address | 1525 A W Michigan Avenue, Battle Creek, Michigan |
| Phone Number | 2699649200 |
| Fax Number | 2699648818 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sussex L Michael |
| Credentials | OD |
| Telephone Number | 2699649200 |
NPI Number Detail
| NPI Number | 1013040120 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1525 A W Michigan Avenue |
|---|---|
| City | Battle Creek |
| State | Michigan (MI) |
| Post Code | 49017 |
| Phone Number | 2699649200 |
| Fax Number | 2699648818 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 944932600 | MI | -- | |
| 944946517 | MI | -- | |
| 900G510070 | BCBS |
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What is the unique identification code assigned to Three Rivers Eyecare Pc by the Centers for Medicare & Medicaid Services?
The Three Rivers Eyecare Pc has been issued the NPI (National Provider Identifier) 1013040120. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Three Rivers Eyecare Pc located?
The Three Rivers Eyecare Pc is located at 1525 A W Michigan Avenue, Battle Creek, MI 49017.
What is the Three Rivers Eyecare Pc's specialty and taxonomy code?
The Three Rivers Eyecare Pc's specialty is Eyewear Supplier, and the corresponding taxonomy code is 332H00000X.
On what date was the 1013040120 assigned to Three Rivers Eyecare Pc?
The Three Rivers Eyecare Pc was issued its 1013040120 on 2007-03-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Three Rivers Eyecare Pc most recently updated or refreshed?
The details pertaining to the Three Rivers Eyecare Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.
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