Individual
ANTHONY BERNARD HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD OD
Contact information
Practice address
814 LUDINGTON ST, FAMILY EYE CARE, ESCANABA, MI 49829-3828
(906) 786-6573
(906) 786-1174
Mailing address
814 LUDINGTON ST, ESCANABA, MI 49829-3828
(906) 786-6573
(906) 786-1174
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003761
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4074414
—
MI
01
—
900B110450
BLUE CROSS
MI
Enumeration date
09/30/2006
Last updated
03/07/2023
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