Organization
RICHARD C ANNIS OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD C ANNIS III OD (PRESIDENT)
(269) 857-2020
Entity
Organization
Contact information
Practice address
114 BLUE STAR HIGHWAY, DOUGLAS, MI 49406-0280
(269) 857-2020
(269) 857-4149
Mailing address
114 BLUE STAR HIGHWAY, DOUGLAS, MI 49406-0280
(269) 857-2020
(269) 857-4149
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003075
MI
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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