| |
E6112 E Bluffview Rd, Suite 102, Ironwood, MI 49938-9367 | |
(906) 932-1436 | |
(906) 932-1449 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | E6112 E Bluffview Rd, Ironwood, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063670453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
N10565 Grandview Ln, Ironwood, MI 49938-9622 Ph: (906) 932-1500 | E6112 E Bluffview Rd, Suite 102, Ironwood, MI 49938-9367 Ph: (906) 932-1436 |