Fenton Vision Center | |
1535 N Leroy St, Suite D, Fenton, MI 48430-2791 | |
(810) 629-3070 | |
Not Available |
Full Name | Fenton Vision Center |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1535 N Leroy St, Fenton, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013122639 | NPI | - | NPPES |
1689754350 | Other | MI | NPI |
1366523086 | Other | MI | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901003993 (Michigan) | Primary |
152W00000X | Optometrist | 4901002996 (Michigan) | Secondary |
Provider Name | Debra E Bourdeau |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790764173 PECOS PAC ID: 5698838324 Enrollment ID: I20090107000257 |
Provider Name | Juan Alvarado |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1689754350 PECOS PAC ID: 1153450069 Enrollment ID: I20100602000055 |
Provider Name | Cynthia L Cupal |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1366523086 PECOS PAC ID: 4880723790 Enrollment ID: I20100602000071 |
Mailing Address | Practice Location Address |
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Fenton Vision Center 1535 N Leroy St, Suite D, Fenton, MI 48430-2791 Ph: (810) 629-3070 | Fenton Vision Center 1535 N Leroy St, Suite D, Fenton, MI 48430-2791 Ph: (810) 629-3070 |
Dr. James Charles Reeves, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 521 N Leroy St, Fenton, MI 48430 Phone: 810-750-9650 Fax: 810-750-8135 | |
Dr. Allison Elizabeth-ezell Davies, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2472 S Long Lake Rd, Fenton, MI 48430 Phone: 810-714-2020 | |
Diamond Optical Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1425 N Leroy St, Fenton, MI 48430 Phone: 810-629-2041 Fax: 810-629-9366 | |
Mcdowell Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 2472 S Long Lake Rd, Fenton, MI 48430 Phone: 810-714-2020 | |
James C Reeves, O.d.p.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 521 N Leroy St, Fenton, MI 48430 Phone: 810-750-9650 Fax: 810-750-8135 | |
Dr. Joseph Matthew Leppek, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1425 N. Leroy St., Fenton, MI 48430 Phone: 810-629-2041 Fax: 810-629-9366 |