| Normandy Optical Company, Inc | |
|
23620 Harper Ave, Saint Clair Shores, MI 48080-1448 | |
| (586) 775-6733 | |
| (586) 775-0397 |
| Full Name | Normandy Optical Company, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 23620 Harper Ave, Saint Clair Shores, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124189089 | NPI | - | NPPES |
| 900E066130 | Other | MI | BCBS OF MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Sarah Elizabeth Krause |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174971642 PECOS PAC ID: 8628360104 Enrollment ID: I20160630002001 |
| Provider Name | Anthony Sesto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699128801 PECOS PAC ID: 3870889264 Enrollment ID: I20160912001080 |
| Provider Name | John David Chrustowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952894347 PECOS PAC ID: 0345596912 Enrollment ID: I20180712000746 |
| Provider Name | Sarah Kujawski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598385247 PECOS PAC ID: 3678997996 Enrollment ID: I20200720003687 |
| Provider Name | Kelsey Kaczmarek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578137832 PECOS PAC ID: 3779981584 Enrollment ID: I20211008001249 |
| Provider Name | Devin Pickett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356030019 PECOS PAC ID: 4183084635 Enrollment ID: I20230717001294 |
| Provider Name | Calvin Habba |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851146104 PECOS PAC ID: 1850834714 Enrollment ID: I20240619002314 |
| Provider Name | Hannah Christine Long |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134975022 PECOS PAC ID: 5193269173 Enrollment ID: I20240701003755 |
| Provider Name | Cassidy Wyatt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760237465 PECOS PAC ID: 5698213775 Enrollment ID: I20240820003953 |
| Mailing Address | Practice Location Address |
|---|---|
| Normandy Optical Company, Inc 23620 Harper Ave, Saint Clair Shores, MI 48080-1448 Ph: (586) 775-6733 | Normandy Optical Company, Inc 23620 Harper Ave, Saint Clair Shores, MI 48080-1448 Ph: (586) 775-6733 |
Ms. Hannah Christine Long, Optometrist Medicare: Medicare Enrolled Practice Location: 23620 Harper Ave, Saint Clair Shores, MI 48080 Phone: 248-836-8050 | |
Devin Pickett, OD Optometrist Medicare: Medicare Enrolled Practice Location: 23620 Harper, Saint Clair Shores, MI 48080 Phone: 586-775-6733 | |
Clear Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 21731 Greater Mack Ave, Saint Clair Shores, MI 48080 Phone: 586-552-1802 | |
Dr. Thomas Frederick Koehler, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 24307 Harper Ave, Saint Clair Shores, MI 48080 Phone: 586-775-6733 | |
Bryan Lazzarin, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 30120 Harper Ave, Saint Clair Shores, MI 48082 Phone: 586-778-7542 Fax: 586-778-1848 | |
Shore Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 31503 Harper Ave, Saint Clair Shores, MI 48082 Phone: 586-294-3080 Fax: 586-294-8979 |