Individual
JOHN P VEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1116 W GANSON ST, JACKSON, MI 49202-4240
(800) 551-7347
Mailing address
2723 S STATE ST, SUITE 220, ANN ARBOR, MI 48104-6188
(800) 551-7347
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901061141
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410046864
RAILROAD MEDICARE
—
05
—
4193175
—
MI
05
—
4193184
—
MI
05
—
4193200
—
MI
01
—
900C848370
BCBSM
MI
Enumeration date
10/11/2005
Last updated
04/22/2008
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