Organization
GAYLORD EYE CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD L MEAD OD (PRESIDENT)
(989) 732-6261
Entity
Organization
Contact information
Practice address
829 W MAIN ST, SUITE E, GAYLORD, MI 49735-1998
(989) 732-6261
(989) 732-1276
Mailing address
829 W MAIN ST, SUITE E, GAYLORD, MI 49735-1998
(989) 732-6261
(989) 732-1276
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901002759
MI
152W00000X
Optometrist
4901003033
MI
152W00000X
Optometrist
Primary
4901003972
MI
152W00000X
Optometrist
4901004573
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F9100
BCBS
MI
Enumeration date
11/10/2005
Last updated
07/25/2011
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