| South Michigan Ophthalmology P C | |
|
830 W Michigan Ave Marshall MI 49068-1446 | |
| (269) 781-9822 | |
| (269) 781-9835 |
| Full Name | South Michigan Ophthalmology P C |
|---|---|
| Speciality | Clinic/Center |
| Location | 830 W Michigan Ave, Marshall, Michigan |
| Authorized Official Name and Position | Darren Paul Hathaway (PRESIDENT) |
| Authorized Official Contact | 2697819822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Michigan Ophthalmology P C 830 W Michigan Ave Marshall MI 49068-1446 Ph: (269) 781-9822 | South Michigan Ophthalmology P C 830 W Michigan Ave Marshall MI 49068-1446 Ph: (269) 781-9822 |
| NPI Number | 1629224514 |
|---|---|
| Provider Enumeration Date | 08/12/2008 |
| Last Update Date | 08/10/2010 |
| Medicare PECOS PAC ID | 9335298652 |
|---|---|
| Medicare Enrollment ID | O20090515000508 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629224514 | NPI | - | NPPES |
| 4421664 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4301073800 (Michigan) | Primary |
| Provider Name | Patricia M Woznicki |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538276498 PECOS PAC ID: 2961470588 Enrollment ID: I20040922000066 |
| Provider Name | Darren P Hathaway |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518028018 PECOS PAC ID: 2163571480 Enrollment ID: I20090515000502 |
| Provider Name | Shannon N Martin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982818597 PECOS PAC ID: 7810186467 Enrollment ID: I20110112000706 |
| Provider Name | Naiya Panchal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225573579 PECOS PAC ID: 8527343847 Enrollment ID: I20170328001345 |
David M. Byrens, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 E Mansion St Ste 2f, Marshall, MI 49068 Phone: 269-781-2111 Fax: 269-781-3181 | |
Whole Family Direct Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1174 W Michigan Ave, Marshall, MI 49068 Phone: 269-558-0080 Fax: 269-781-2253 | |
Daniel Macias Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 139 W Mansion St, Marshall, MI 49068 Phone: 269-781-3461 | |
Advantage Health Clinic, For Men, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18625 Centennial Rd, Suite D, Marshall, MI 49068 Phone: 269-789-1900 Fax: 269-789-1974 | |
Marshall Internal And Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14900 Us Highway 27 N, Marshall, MI 49068 Phone: 269-781-6600 Fax: 269-781-9228 | |
Thomas Neidlinger Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 E Mansion St Ste 2a, Marshall, MI 49068 Phone: 269-781-1122 |