Organization
EXPERIENCE YOUR EYE SPECIALIST
Active
Parent organization
EXPERIENCE YOUR EYE SDPECIALIST
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXPERIENCE YOUR EYE SDPECIALIST
Authorized official
JANEL C NORFLEET O.D. (OWNER)
(989) 846-6009
Entity
Organization
Contact information
Practice address
529 S MAIN ST, STANDISH, MI 48658-9539
(989) 846-6009
(989) 846-4889
Mailing address
529 S MAIN ST, PO BOX 429, STANDISH, MI 48658-9539
(989) 846-6009
(989) 846-4889
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013421
MCLAREN
MI
05
—
4487020
—
MI
01
—
900Z610040
BCBS
MI
Enumeration date
01/10/2008
Last updated
11/10/2008
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