Organization
JAMES SEALS PETER TACIA
Active
Other names
Tad Bartz OD PC
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA L GRAULAU (INSURANCE BILLER)
(989) 463-1139
Entity
Organization
Contact information
Practice address
1321 PINE AVE, ALMA, MI 48801-1242
(989) 463-1139
(989) 466-2808
Mailing address
1321 PINE ST, ALMA, MI 48801
(989) 463-1139
(989) 466-2808
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
JS002928
MI
152W00000X
Optometrist
PT003275
MI
152W00000X
Optometrist
TB003749
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3064217
—
MI
Enumeration date
11/17/2006
Last updated
08/22/2020
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