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Contact Information

CADILLAC EYE CLINIC PC
502 COBB ST
CADILLAC, MI49601-2577
 Phone: 231-775-1248
 Fax: 231-775-1156
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for CADILLAC EYE CLINIC PC · (Female)

NPI # 1831174879
Status Active
Credentials
Entity Individual
Enumeration date 12/13/2005
Last updated 04/22/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI Medicaid 3255157
  • MI Other 180H34653 BCBSM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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