| Svsvision 47 | |
|
1793 S Cedar St, Imlay City, MI 48444-1342 | |
| (810) 721-9411 | |
| (810) 721-9512 |
| Full Name | Svsvision 47 |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1793 S Cedar St, Imlay City, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881729390 | NPI | - | NPPES |
| 4500543 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 332H00000X | Eyewear Supplier | (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Svsvision 47 118 Cass Ave, Mount Clemens, MI 48043-2204 Ph: (586) 468-7370 | Svsvision 47 1793 S Cedar St, Imlay City, MI 48444-1342 Ph: (810) 721-9411 |
Daniel Jack Adams, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1813 S Van Dyke, Imlay City, MI 48444 Phone: 989-721-9411 Fax: 989-721-9512 | |
Wen Ying Fan, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1793 S Cedar St, Imlay City, MI 48444 Phone: 810-721-9411 Fax: 810-721-9512 | |
Imlay City Optical Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 125 W 3rd St, Imlay City, MI 48444 Phone: 810-724-6155 Fax: 810-724-7708 |