| |
1101 Washington St, Baldwin, MI 49304 | |
(231) 745-4624 | |
(231) 745-5031 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1101 Washington St, Baldwin, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902308463 | NPI | - | NPPES |
0D36000 | Other | MI | BSBSM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
---|---|
1615 Michigan Ave, Baldwin, MI 49304-7984 Ph: (231) 745-2743 | 1101 Washington St, Baldwin, MI 49304 Ph: (231) 745-4624 |
Family Optometric Centers Plc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1075 Washington St, Baldwin, MI 49304 Phone: 231-745-4787 Fax: 231-832-3628 |