Visual Performance Center Pllc | |
3916 Stonegate Park Unit B, Saint Joseph, MI 49085-9144 | |
(269) 408-8719 | |
Not Available |
Full Name | Visual Performance Center Pllc |
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Type | Facility |
Speciality | Optometrist |
Location | 3916 Stonegate Park Unit B, Saint Joseph, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417622804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Geoffrey Allen Heddle |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285788745 PECOS PAC ID: 3274541156 Enrollment ID: I20060404000480 |
Mailing Address | Practice Location Address |
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Visual Performance Center Pllc 3916 Stonegate Park Unit B, Saint Joseph, MI 49085-9144 Ph: () - | Visual Performance Center Pllc 3916 Stonegate Park Unit B, Saint Joseph, MI 49085-9144 Ph: (269) 408-8719 |
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