Eastside Eye Physicians, Pc in Saint Clair Shores - Eyewear Supplier
Eastside Eye Physicians, Pc - NPI 1629106240
Eastside Eye Physicians, Pc is a Eyewear Supplier in Saint Clair Shores, Michigan. Eastside Eye Physicians, Pc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Eastside Eye Physicians, Pc is 1629106240. The last update date is 2008-01-25.
Eastside Eye Physicians, Pc's current location address is 25511 Little Mack Ave, Saint Clair Shores, Michigan. You can contact this provider via phone number 5867743388 and fax number 5867743169. The mailing address for Eastside Eye Physicians, Pc is 25511 Little Mack Ave, Saint Clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastside Eye Physicians, Pc |
|---|---|
| Address | 25511 Little Mack Ave, Saint Clair Shores, Michigan |
| Phone Number | 5867743388 |
| Fax Number | 5867743169 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Nachazel M Anne |
| Credentials | MD |
| Telephone Number | 5867742020 |
NPI Number Detail
| NPI Number | 1629106240 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2008-01-25 |
Provider Mailing Address Detail
| Address | 25511 Little Mack Ave |
|---|---|
| City | Saint Clair Shores |
| State | Michigan (MI) |
| Post Code | 480813372 |
| Phone Number | 5867743388 |
| Fax Number | 5867743169 |
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. |
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Post Comment/ Review Below
What is the unique identification code assigned to Eastside Eye Physicians, Pc by the Centers for Medicare & Medicaid Services?
The Eastside Eye Physicians, Pc has been issued the NPI (National Provider Identifier) 1629106240. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Eastside Eye Physicians, Pc's facilities are situated?
The facilities of Eastside Eye Physicians, Pc are physically located at the following address: 25511 Little Mack Ave, Saint Clair Shores, MI, 480813372.
What is Eastside Eye Physicians, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Eastside Eye Physicians, Pc's specialized field of practice is Eyewear Supplier, and the corresponding taxonomy code that categorizes this area of specialization is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629106240 to Eastside Eye Physicians, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1629106240 to Eastside Eye Physicians, Pc on 2007-03-02.
As of what date were the details pertaining to Eastside Eye Physicians, Pc last refreshed?
The information related to the Eastside Eye Physicians, Pc, including its address, specialty, and other relevant details, was last updated on 2008-01-25.
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