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4070 Charlevoix, Bay Harbor, MI 49770 | |
(231) 487-5315 | |
(231) 487-5316 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 4070 Charlevoix, Bay Harbor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003471269 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Debra Lin Denton |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124053954 PECOS PAC ID: 0941205231 Enrollment ID: I20060920000073 |
Provider Name | Lyndsay L Olmstead |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1922363589 PECOS PAC ID: 2365668407 Enrollment ID: I20140724002600 |
Provider Name | Ashley J Rossman |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1396184776 PECOS PAC ID: 0446492060 Enrollment ID: I20170810000875 |
Mailing Address | Practice Location Address |
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4070 Charlevoix, Bay Harbor, MI 49770 Ph: (231) 487-5315 | 4070 Charlevoix, Bay Harbor, MI 49770 Ph: (231) 487-5315 |