| Paul Kenzie Od Pc | |
|
108 N Main St, Plymouth, MI 48170-1236 | |
| (734) 453-8450 | |
| (734) 453-6347 |
| Full Name | Paul Kenzie Od Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 108 N Main St, Plymouth, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518958974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901002510 (Michigan) | Primary |
| Provider Name | Paul W Kenzie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144396227 PECOS PAC ID: 1759435613 Enrollment ID: I20090812000599 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Kenzie Od Pc 108 N Main St, Plymouth, MI 48170-1236 Ph: (734) 453-8450 | Paul Kenzie Od Pc 108 N Main St, Plymouth, MI 48170-1236 Ph: (734) 453-8450 |
Robert Ray Baltierra, Optometrist Medicare: May Accept Medicare Assignments Practice Location: 44429 Ann Arbor Rd W, Plymouth, MI 48170 Phone: 734-416-0348 | |
P-cor Llc Optometrist Medicare: Medicare Enrolled Practice Location: 40895 Ann Arbor Rd, Plymouth, MI 48170 Phone: 734-233-6300 | |
Dr. Andrew John Ealovega, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 217 W Sheldon, Plymouth, MI 48170 Phone: 734-453-4870 Fax: 734-453-2849 | |
Dr. Paul Walter Kenzie, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 108 N Main St, Plymouth, MI 48170 Phone: 734-453-8450 Fax: 734-453-6347 | |
Dr. James M Carney, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1358 S Main St, Plymouth, MI 48170 Phone: 734-453-6190 Fax: 734-453-4640 | |
Picard Family Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 670 S Main St, Plymouth, MI 48170 Phone: 734-446-6889 Fax: 734-259-0804 | |
Brian M Carney, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1358 S Main St, Plymouth, MI 48170 Phone: 734-453-6190 Fax: 734-453-4640 |