| |
10085 Buchanan Rd, Canadian Lakes, MI 49346-9762 | |
(231) 972-3937 | |
(231) 972-1212 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 10085 Buchanan Rd, Canadian Lakes, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1780810598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901004486 (Michigan) | Primary |
Provider Name | Mary E Miller |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285899542 PECOS PAC ID: 7113089921 Enrollment ID: I20090102000172 |
Provider Name | Alison M Jenerou |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1861770158 PECOS PAC ID: 2961672522 Enrollment ID: I20110909002488 |
Mailing Address | Practice Location Address |
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10085 Buchanan Rd, Canadian Lakes, MI 49346-9762 Ph: (231) 972-3937 | 10085 Buchanan Rd, Canadian Lakes, MI 49346-9762 Ph: (231) 972-3937 |
Dr. Mary Evelyn Miller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10085 Buchanan Rd, Canadian Lakes, MI 49346 Phone: 231-972-3937 Fax: 231-972-1212 |