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Contact Information

TAWAS BAY OPTICAL INC.
1691 N US 23
SUITE 2
EAST TAWAS, MI48730
 Phone: 989-362-9546
 Fax: 989-362-9567
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for TAWAS BAY OPTICAL INC · (Female)

NPI Number 1104942135
Status Active
Credentials
Entity Individual
Enumeration date 03/21/2007
Last updated 09/15/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4901003153
  • MI Other 0M89210001 BCBSM MEDICARE ADVANTAGE
  • MI Other 900C510060 BLUE CROSS BLUE SHIELD
  • MI Other 1291550002 DMERC
  • MI Other 410046393 RAILROAD MEDICARE
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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