MICHAEL L SUSSEX OD PC; NPI #1083653497

Contact Information

MICHAEL L SUSSEX OD PC

706 S CENTREVILLE RD
STURGIS, MI 49091

Phone: 269-651-2960
Fax: 269-657-4333
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for MICHAEL L SUSSEX OD PC

NPI Number 1083653497

LBN Legal business name MICHAEL L SUSSEX OD PC

Authorized official MICHAEL SUSSEX - (PRESIDENT OWNER)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 06/05/2006

Last updated 08/05/2009 - About 17 years ago

Identifiers

MI	Medicaid	941776997
MI	Other	900A210070	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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MICHAEL L SUSSEX OD PC

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for MICHAEL L SUSSEX OD PC

Reviews for MICHAEL L SUSSEX OD PC