Individual
DR. RICHARD C. ANNIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
114 BLUE STAR HIGHWAY, DOUGLAS, MI 49406-0280
(269) 857-2020
(269) 857-4149
Mailing address
PO BOX 280, DOUGLAS, MI 49406-0280
(269) 857-2020
(269) 455-5276
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003075
MI
Other
Enumeration date
03/23/2006
Last updated
06/16/2018
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