Organization
RICHARD J NEUENFELDT ODPC
Active
Other names
Neuenfeldt Family Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J NEUENFELDT O.D. (PRESIDENT)
(810) 695-3500
Entity
Organization
Contact information
Practice address
12830 S SAGINAW ST, SUITE C, GRAND BLANC, MI 48439-2415
(810) 695-3500
(810) 695-3502
Mailing address
12830 S SAGINAW ST, SUITE C, GRAND BLANC, MI 48439-2415
(810) 695-3500
(810) 695-3502
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0996169
HEALTH PLUS
MI
01
—
900B565970
BCBS
MI
Enumeration date
04/17/2008
Last updated
11/28/2012
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