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3107 Us 41 W, Marquette, MI 49855-9494 | |
(906) 228-4120 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Eyewear Supplier |
Location | 3107 Us 41 W, Marquette, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578129094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Provider Name | Sandra E Macphee |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134170145 PECOS PAC ID: 8820080609 Enrollment ID: I20040401000252 |
Provider Name | Gary E Tackman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255383584 PECOS PAC ID: 0941267157 Enrollment ID: I20041220000125 |
Provider Name | Christina Lynn Curtis |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1174575401 PECOS PAC ID: 4385663368 Enrollment ID: I20051118000471 |
Provider Name | Matthew James Verbrigghe |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790379220 PECOS PAC ID: 9335548932 Enrollment ID: I20210602001636 |
Provider Name | Blaze Sammon |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1093442121 PECOS PAC ID: 8729443551 Enrollment ID: I20231012001927 |
Mailing Address | Practice Location Address |
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Po Box 19060, Green Bay, WI 54307-9060 Ph: () - | 3107 Us 41 W, Marquette, MI 49855-9494 Ph: (906) 228-4120 |