Tessa Fredal, OD | |
136 Cass Ave, Mount Clemens, MI 48043-2230 | |
(586) 468-4211 | |
Not Available |
Full Name | Tessa Fredal |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 136 Cass Ave, Mount Clemens, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487388294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901005642 (Michigan) | Primary |
Provider Name | Ann Lacroix Fredal Od Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770885030 PECOS PAC ID: 4981715281 Enrollment ID: O20101214001182 |
Mailing Address | Practice Location Address |
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Tessa Fredal, OD 42327 Little Rd, Clinton Twp, MI 48036-1431 Ph: () - | Tessa Fredal, OD 136 Cass Ave, Mount Clemens, MI 48043-2230 Ph: (586) 468-4211 |
Dr. Jennifer M Claudio, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 118 Cass Ave, Mount Clemens, MI 48043 Phone: 586-468-7612 Fax: 586-468-9701 | |
Kristina Atleski, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 118 Cass Ave, Mount Clemens, MI 48043 Phone: 586-468-7612 | |
Dr. Robert Guy Farrell Jr., O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 140 Macomb Pl, Mount Clemens, MI 48043 Phone: 586-322-1875 | |
Svs Vision Inc Optometrist Medicare: Medicare Enrolled Practice Location: 118 Cass Ave, Mount Clemens, MI 48043 Phone: 586-468-7612 Fax: 586-468-9701 | |
Jennifer J. Kim, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 118 Cass Ave, Mount Clemens, MI 48043 Phone: 586-468-7370 | |
Mrs. Ann Fredal, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 136 Cass Ave, Mount Clemens, MI 48043 Phone: 586-468-4211 |