Organization
NORTH BAY OPHTHALMOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY VAN EVERY MD (PRESIDENT)
(231) 487-2020
Entity
Organization
Contact information
Practice address
2061 M 119, PETOSKEY, MI 49770-8914
(231) 487-2020
(213) 487-6166
Mailing address
2061 M 119, PETOSKEY, MI 49770-8914
(231) 487-2020
(213) 487-6166
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
TV039837
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1802400101
BCBSM
MI
01
—
7000020101
PRIORITY HEALTH
MI
Enumeration date
09/21/2006
Last updated
08/22/2020
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