Organization
GARY C. SPENCER O.D., P.C.
Active
Other names
Optometry West
Organization subpart
No
Provider details
NPI number
Authorized official
GARY C. SPENCER OD (PRESIDENT)
(734) 369-4833
Entity
Organization
Contact information
Practice address
2624 OXFORD CIR, ANN ARBOR, MI 48103-2447
(734) 369-4833
Mailing address
2624 OXFORD CIR, ANN ARBOR, MI 48103-2447
(734) 369-4833
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002683
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F11250
BCBS
MI
01
—
71020000F16521
BCBS
MI
01
—
900F165210
BLUE CARE NETWORK
MI
Enumeration date
11/28/2006
Last updated
10/04/2018
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