National Provider Identifier Database

CEDAR RUN EYE CENTER OPTICAL
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

CEDAR RUN EYE CENTER OPTICAL
3830 W FRONT ST
TRAVERSE CITY, MI49684-8153
Phone: 231-929-3888
Fax: 231-929-4365
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X
Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for CEDAR RUN EYE CENTER OPTICAL

NPI Number 1215157367
Legal business name
LBN
CEDAR RUN EYE CENTER OPTICAL
Authorized official JENNIFER GROCHOWALSKI - (ADMINISTRATION)
Entity Organization
Organization subpart No
Enumeration date 04/30/2007
Last updated 11/30/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • MI Other: 180B86357 BCBSM
  • MI Other: 900B863470 BCBSM

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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