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Contact Information

MEDICAL ARTS EYE CARE PC
750 STEWART RD
SUITE 2
MONROE, MI48162-4279
 Phone: 734-242-8630
 Fax: 734-242-8666
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

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

NPI # 1427219625
Status Active
Credentials
Entity Individual
Enumeration date 06/19/2008
Last updated 01/18/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4901002739
  • MI License # 490102739
  • MI License # CB002739
  • MI License # KC003966
  • MI Medicaid 1427219625
  • MI Other 900E80015 BLUE CROSS BLUE SHIELD OF MICHIGAN
  • MI Other DR6060 RETIRED 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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