Distinctive Eyewear, Inc. | |
1280 S 9th St, Saint Clair, MI 48079-5368 | |
(810) 329-9725 | |
(810) 329-3491 |
Full Name | Distinctive Eyewear, Inc. |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1280 S 9th St, Saint Clair, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336179597 | NPI | - | NPPES |
101422 | Other | MI | GREAT LAKES HEALTH PLAN |
13314 | Other | MI | SPECTERA |
900G467000 | Other | MI | BLUE CROSS |
MI2751 | Other | MI | EYEMED |
MI02751 | Other | MI | VISION BENEFIT OF AMERICA |
943020464 | Medicaid | MI | |
12065 | Other | MI | HEALTH PLAN OF MI |
25289 | Other | MI | NATIONAL VISION ADMIN. |
GK490100 | Other | MI | BLUE CROSS PIN # |
145807 | Other | MI | COLE VISION DOCTOR # |
146505 | Other | MI | COLE VISION LOCATION # |
3020464 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901002751 (Michigan) | Primary |
Provider Name | Arlene D Barton |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1952442964 PECOS PAC ID: 1355488644 Enrollment ID: I20091019000316 |
Provider Name | Carol Allen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902941537 PECOS PAC ID: 2264735018 Enrollment ID: I20160128000708 |
Mailing Address | Practice Location Address |
---|---|
Distinctive Eyewear, Inc. 1280 S 9th St, Saint Clair, MI 48079-5368 Ph: (810) 329-9725 | Distinctive Eyewear, Inc. 1280 S 9th St, Saint Clair, MI 48079-5368 Ph: (810) 329-9725 |
Son Od Plc Optometrist Medicare: Medicare Enrolled Practice Location: 201 N Riverside Ave, Saint Clair, MI 48079 Phone: 800-743-0396 | |
Dr. Michael M Caister, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1921 Fred Moore Hwy, Saint Clair, MI 48079 Phone: 810-326-3937 Fax: 810-326-0584 | |
Dr. Kathleen Marie Tolen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1102 S 7th St Apt 2, Saint Clair, MI 48079 Phone: 810-329-2447 Fax: 810-982-0227 |