| Tawas Bay Optical Inc. | |
|
1691 N Us 23, Suite 2, East Tawas, MI 48730 | |
| (989) 362-9546 | |
| (989) 362-9567 |
| Full Name | Tawas Bay Optical Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1691 N Us 23, East Tawas, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104942135 | NPI | - | NPPES |
| 900C510060 | Other | MI | BLUE CROSS BLUE SHIELD |
| 410046393 | Other | MI | RAILROAD MEDICARE |
| 0M89210001 | Other | MI | BCBSM MEDICARE ADVANTAGE |
| 1291550002 | Other | MI | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901003153 (Michigan) | Primary |
| Provider Name | Daniel C Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215029350 PECOS PAC ID: 5294833083 Enrollment ID: I20070601000134 |
| Provider Name | Crystal Angela Ruemenapp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225636095 PECOS PAC ID: 6709286040 Enrollment ID: I20210608003558 |
| Mailing Address | Practice Location Address |
|---|---|
| Tawas Bay Optical Inc. 1691 N Us 23, Suite 2, East Tawas, MI 48730 Ph: (989) 362-9546 | Tawas Bay Optical Inc. 1691 N Us 23, Suite 2, East Tawas, MI 48730 Ph: (989) 362-9546 |
Oscoda Optical Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1691 E Us 23 Ste 2, East Tawas, MI 48730 Phone: 989-362-9546 Fax: 989-362-9567 | |
Crystal Angela Ruemenapp, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1691 E Us 23 Ste 2, East Tawas, MI 48730 Phone: 989-362-9546 Fax: 989-362-9567 | |
New Vision Family Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 1704 E Us 23, East Tawas, MI 48730 Phone: 989-362-3478 Fax: 989-362-2380 | |
New Vision Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1704 E Us 23, East Tawas, MI 48730 Phone: 989-362-3478 Fax: 989-362-2380 |