| |
229 W Genesee St, Iron River, MI 49935-1438 | |
(906) 265-9931 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 229 W Genesee St, Iron River, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912689324 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
29980 Network Pl, Chicago, IL 60673-1299 Ph: (715) 847-2304 | 229 W Genesee St, Iron River, MI 49935-1438 Ph: (906) 265-9931 |