Organization
MEDICAL ARTS EYE CARE PC
Active
Other names
DONAHUE EYECARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE L DONAHUE (MANAGER)
(734) 242-8630
Entity
Organization
Contact information
Practice address
750 STEWART RD, SUITE 2, MONROE, MI 48162-4279
(734) 242-8630
(734) 242-8666
Mailing address
750 STEWART RD, SUITE 2, MONROE, MI 48162-4291
(734) 242-8630
(734) 242-8666
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CB002739
MI
152W00000X
Optometrist
KC003966
MI
332B00000X
Durable Medical Equipment & Medical Supplies
4901002739
MI
332H00000X
Eyewear Supplier
490102739
MI
335E00000X
Prosthetic/Orthotic Supplier
4901002739
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427219625
—
MI
01
—
900E80015
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
DR6060
RETIRED RAILROAD MEDICARE
MI
Enumeration date
06/19/2008
Last updated
01/18/2013
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