# STANG FAMILY EYECARE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376618876
- **Authorized official:** DR. NANCY D STANG O.D. (OWNER)
- **Authorized official phone:** (906) 226-8800

## Contact information

- **Practice address:** 622 N 3RD ST, MARQUETTE, MI 49855-3520
- **Practice address phone:** (906) 226-8800
- **Practice address fax:** (906) 226-8802
- **Mailing address:** 622 N 3RD ST, MARQUETTE, MI 49855-3520
- **Mailing address phone:** (906) 226-8800
- **Mailing address fax:** (906) 226-8802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 05/23/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0P45990 | MEDICARE GROUP NUMBER | MI |
| 01 | — | 900E21080 | BLUE CROSS AND BLUE SHIELD | MI |
| 01 | — | P45990001 | MEDICARE PROVIDER NUMBER | MI |