Organization
UP OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY J GERSICH (MANAGER)
(906) 786-5181
Entity
Organization
Contact information
Practice address
1015 S LINCOLN RD, ESCANABA, MI 49829-2100
(906) 786-5181
Mailing address
1015 S LINCOLN RD, ESCANABA, MI 49829-2100
(906) 786-5181
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102758320
—
MI
05
—
102940677
—
MI
05
—
1659572071
—
MI
01
—
180B160140
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/01/2006
Last updated
01/15/2025
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