| |
401 Woodward Ave, Kingsford, MI 49802-4630 | |
(906) 774-0611 | |
(906) 774-2796 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 401 Woodward Ave, Kingsford, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407077290 | NPI | - | NPPES |
38578900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901003162 (Michigan) | Primary |
Provider Name | Nelson Howard Hassell |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1689771487 PECOS PAC ID: 7719060532 Enrollment ID: I20080215000566 |
Mailing Address | Practice Location Address |
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401 Woodward Ave, Kingsford, MI 49802-4630 Ph: (906) 774-0611 | 401 Woodward Ave, Kingsford, MI 49802-4630 Ph: (906) 774-0611 |
Dr. Nelson Howard Hassell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 401 Woodward Ave, Kingsford, MI 49802 Phone: 906-774-0611 Fax: 906-774-2796 |