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11200 Highland Road, Suite 501, Hartland, MI 48353 | |
(810) 632-5240 | |
(810) 632-2048 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 11200 Highland Road, Hartland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1326208489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 4901003117 (Michigan) | Primary |
Provider Name | Thomas R Doud |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1649316175 PECOS PAC ID: 0547333858 Enrollment ID: I20080721000169 |
Mailing Address | Practice Location Address |
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11200 Highland Road, Suite 501, Hartland, MI 48353 Ph: (810) 632-5240 | 11200 Highland Road, Suite 501, Hartland, MI 48353 Ph: (810) 632-5240 |
Dr. Thomas Ralph Doud, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11200 Highland Road, Suite 501, Hartland, MI 48353 Phone: 810-632-5240 Fax: 810-632-2048 |