Organization
HAMILTON FAMILY EYECARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNNETTE GAY BURGESS OD (OPTOMETRIST/ OWNER)
(269) 751-4400
Entity
Organization
Contact information
Practice address
3426 M-40 HWY, HAMILTON, MI 49419-9512
(269) 751-4400
Mailing address
3426 M-40 HWY, HAMILTON, MI 49419-9512
(269) 751-4400
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
4901003563
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7000077251
PRIORITY HEALTH MEDICAID
MI
01
—
900Z310280
BLUE SHEILD
MI
Enumeration date
12/11/2007
Last updated
05/12/2009
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