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Contact Information

JOSEPH K DOUGLAS, OD
5025 SHATTUCK RD
SAGINAW, MI48603
 Phone: 989-752-7121
 Fax: 989-752-6918
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JOSEPH K DOUGLAS · (Male)

NPI # 1114935426
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/03/2006
Last updated 05/25/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4901004056
  • MI Medicaid 4338380
  • MI Other 900G310840 BLUE CROSS BLUE SHIELD
  • MI Other JD004056 BLUE CROSS BLUE SHIELD
  • MI Other 0994678 HEALTHPLUS OF MICHIGAN
  • MI Other 1871699314 MEDICARE GROUP
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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