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Contact Information

THREE RIVERS EYECARE PC
1525 A W MICHIGAN AVENUE
BATTLE CREEK, MI49017
 Phone: 269-964-9200
 Fax: 269-964-8818
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for THREE RIVERS EYECARE PC

NPI # 1013040120
LBN Legal business name THREE RIVERS EYECARE PC
Authorized official MICHAEL SUSSEX - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/14/2007
Last updated 07/21/2022 - About 4 years ago
Identifiers
MI Medicaid 944932600
MI Medicaid 944946517
Other 900G510070 BCBS
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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