| |
19216 Fort St, Riverview, MI 48193-6702 | |
(734) 479-5300 | |
(734) 479-5367 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 19216 Fort St, Riverview, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205266061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
156FX1800X | Technician/technologist - Optician | (* (Not Available)) | Secondary |
Provider Name | Robert Joseph Deek |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1366585234 PECOS PAC ID: 5395843965 Enrollment ID: I20070605000355 |
Provider Name | Leslie K Capell |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285823153 PECOS PAC ID: 4486929544 Enrollment ID: I20170929001285 |
Mailing Address | Practice Location Address |
---|---|
19216 Fort St, Riverview, MI 48193-6702 Ph: (734) 479-5300 | 19216 Fort St, Riverview, MI 48193-6702 Ph: (734) 479-5300 |
Harold Schiff O.d., P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 19216 Fort St, Riverview, MI 48193 Phone: 734-479-5300 |