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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

NPI # 1235130923
LBN Legal business name FAMILY EYE CARE PC
Authorized official JAY JENKINS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/03/2005
Last updated 06/29/2012 - About 14 years ago
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
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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