Organization
ABP EYESITE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANN D LITTLE (ACCOUNTS REC.)
(989) 773-2020
Entity
Organization
Contact information
Practice address
1230 E.BROOMFIELD, SUITE 6, MT.PLEASANT, MI 48858
(989) 773-2020
(989) 772-7757
Mailing address
1230 E.BROOMFIELD, SUITE 6, MT.PLEASANT, MI 48858
(989) 773-2020
(989) 772-7757
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900C710170
BLUECROSS BLUESHIELD
MI
Enumeration date
05/03/2007
Last updated
05/05/2008
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