Individual
DR. REBECCA LYNN PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1231 W MAIN ST, FREMONT, MI 49412-1484
(231) 924-2700
(231) 924-9255
Mailing address
1231 W MAIN ST, FREMONT, MI 49412-1484
(231) 924-2700
(231) 924-9255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003937
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F21032
BCN
MI
01
—
383628290
TAX ID
—
01
—
900F210320
BCBS
MI
05
—
94-4316560
—
MI
Enumeration date
05/17/2006
Last updated
04/06/2023
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