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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

NPI Number 1427219625
LBN Legal business name MEDICAL ARTS EYE CARE PC
Authorized official CHRISTINE DONAHUE - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/19/2008
Last updated 01/18/2013 - About 13 years ago
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
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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