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Contact Information

BI COUNTY OPHTHALMOLOGY PC
28001 SCHOENHERR RD
SUITE 2
WARREN, MI48088-4396
 Phone: 586-756-5060
 Fax: 586-756-9783
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BI COUNTY OPHTHALMOLOGY PC

NPI Number 1760668107
LBN Legal business name BI COUNTY OPHTHALMOLOGY PC
Authorized official JESSE CARDELLIO - (OWNER/ PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/16/2008
Last updated 01/29/2014 - About 12 years ago
Identifiers
MI License # 005215
MI Medicaid 111536954
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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