National Provider Identifier Database

ANGELA D ICEBERG, OD – NPI #1598787749
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

ANGELA D ICEBERG, OD
31815 SOUTHFIELD RD STE 12
BEVERLY HILLS, MI48025
Phone: 248-645-2220
Fax: 877-547-8277
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for ANGELA D ICEBERG

NPI Number 1598787749
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/24/2006
Last updated 09/20/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • MI License #: 5330000481
  • MI Other: MI1300001 MEDICARE PTAN
Hospital affiliation n/a

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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