Avery Vision Center Pc | |
1002 N Us 27, St Johns, MI 48879 | |
(989) 224-3937 | |
(989) 224-4999 |
Full Name | Avery Vision Center Pc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1002 N Us 27, St Johns, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174677959 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Edward Avery Peters |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740270388 PECOS PAC ID: 4688750300 Enrollment ID: I20080320000638 |
Provider Name | Thu Thi Anh To |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1508942376 PECOS PAC ID: 6608836291 Enrollment ID: I20120926000818 |
Provider Name | Roxanne Rottiers |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205212131 PECOS PAC ID: 2264746932 Enrollment ID: I20150810000527 |
Provider Name | Edward Peters |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134613680 PECOS PAC ID: 0547511503 Enrollment ID: I20181002000147 |
Provider Name | Zachary B Peters |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1528633914 PECOS PAC ID: 5294135877 Enrollment ID: I20210618001270 |
Provider Name | Jennifer Eaton |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215627732 PECOS PAC ID: 1951761436 Enrollment ID: I20230714003490 |
Mailing Address | Practice Location Address |
---|---|
Avery Vision Center Pc 1002 N Us 27, St Johns, MI 48879 Ph: (989) 224-3937 | Avery Vision Center Pc 1002 N Us 27, St Johns, MI 48879 Ph: (989) 224-3937 |