Harrisville Eye Care | |
300 N State St, Harrisville, MI 48740-9693 | |
(989) 724-7440 | |
(989) 724-7531 |
Full Name | Harrisville Eye Care |
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Type | Facility |
Speciality | Optometrist |
Location | 300 N State St, Harrisville, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497173322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901004764 (Michigan) | Primary |
152WV0400X | Optometrist - Vision Therapy | 4901004764 (Michigan) | Secondary |
Provider Name | Benjamin David Dietrich |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073952297 PECOS PAC ID: 1850534439 Enrollment ID: I20130829000521 |
Mailing Address | Practice Location Address |
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Harrisville Eye Care 300 N State St, Harrisville, MI 48740-9693 Ph: (989) 724-7440 | Harrisville Eye Care 300 N State St, Harrisville, MI 48740-9693 Ph: (989) 724-7440 |
Harrisville Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 300 North Us-23, Harrisville, MI 48740 Phone: 989-724-7440 Fax: 989-724-7531 | |
Dr. Benjamin David Dietrich, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 N State St, Harrisville, MI 48740 Phone: 989-724-7440 Fax: 989-724-7531 |