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Contact Information

FAMILY EYE CARE PC
6525 A W HOUGHTON LAKE DR
HOUGHTON LAKE, MI48629
 Phone: 989-422-5731
 Fax: 989-422-2534
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for FAMILY EYE CARE PC · (Female)

NPI Number 1235130923
Status Active
Credentials
Entity Individual
Enumeration date 08/03/2005
Last updated 06/29/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4901003630
  • MI Medicaid 943380772
  • MI Medicaid 943380807
  • Other MI3630 EYEMED
  • MI Other 00050136929 AETNA
  • MI Other 900G210200 BLUE CARE NETWORK
  • MI Other P35872F BLUE CARE NETWORK
  • MI Other 900G210200 BLUE CROSS BLUE SHIELD
  • MI Other 900G210280 BLUE CROSS BLUE SHIELD
  • MI Other 1178430001 DMERC
  • MI Other DE5176 DMERC
  • MI Other 230603 NVA
  • MI Other 900022079 PRIORITY HEALTH
  • MI Other 410036674 RAILROAD MEDICARE
  • MI Other 13146 SPECTERA
  • MI Other 13147 SPECTERA
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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