Organization
EXCEL INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D NOSS O.D (MEMBER)
(231) 946-7700
Entity
Organization
Contact information
Practice address
328 MUNSON AVE, SUITE C, TRAVERSE CITY, MI 49686
(231) 946-7700
Mailing address
328 MUNSON AVE, SUITE C, TRAVERSE CITY, MI 49686-3040
(231) 946-7700
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90-0-B8-1190-0
BCBS NON-PAR ID
MI
Enumeration date
09/17/2012
Last updated
07/19/2018
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