| |
2720 J Maddy Pkwy, Interlochen, MI 49643-9135 | |
(231) 932-1520 | |
(231) 932-1552 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 2720 J Maddy Pkwy, Interlochen, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710924261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
2720 J Maddy Pkwy, Interlochen, MI 49643-9135 Ph: (231) 932-1520 | 2720 J Maddy Pkwy, Interlochen, MI 49643-9135 Ph: (231) 932-1520 |