Innovative Eye Care | |
7161 W Q Ave, Kalamazoo, MI 49009-5951 | |
(847) 738-1517 | |
Not Available |
Full Name | Innovative Eye Care |
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Type | Facility |
Speciality | Optometrist |
Location | 7161 W Q Ave, Kalamazoo, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750807335 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Alexandra Marie Copeland |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1730434390 PECOS PAC ID: 1658528054 Enrollment ID: I20131122000078 |
Mailing Address | Practice Location Address |
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Innovative Eye Care 55 S Vail Ave Apt 1214, Arlington Heights, IL 60005-1875 Ph: (847) 738-1517 | Innovative Eye Care 7161 W Q Ave, Kalamazoo, MI 49009-5951 Ph: (847) 738-1517 |
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