Organization
GREATER THUMB EYECARE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN H BARDEN OD (OWNER/OPTOMETRIST)
(248) 798-6721
Entity
Organization
Contact information
Practice address
295 N MAIN ST, VASSAR, MI 48768-1399
(989) 823-8559
(989) 823-8241
Mailing address
295 N MAIN ST, VASSAR, MI 48768-1399
(989) 823-8559
(989) 823-8241
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004092
MI
152WC0802X
Corneal and Contact Management Optometrist
4901004092
MI
152WP0200X
Pediatric Optometrist
4901004092
MI
152WS0006X
Sports Vision Optometrist
4901004092
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U87205
UPIN
—
Enumeration date
02/08/2016
Last updated
02/08/2016
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