Individual
DR. JESSICA MARY BEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
12606 HOLLY RD, GRAND BLANC, MI 48439
(810) 694-3652
(810) 694-0963
Mailing address
12606 HOLLY RD, GRAND BLANC, MI 48439-2447
(810) 694-3652
(810) 694-0963
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004285
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01003607
HEALTH PLUS OF MI
MI
05
—
4859224
—
MI
01
—
900B513330
BCBS
MI
Enumeration date
11/22/2006
Last updated
12/29/2009
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