Organization
BELILL EYE CARE, PLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS MICHAEL BELILL O.D. (OWNER/OPTOMETRIST)
(810) 564-2000
Entity
Organization
Contact information
Practice address
5092 W VIENNA RD, SUITE I, CLIO, MI 48420-2803
(810) 564-2000
Mailing address
5092 W VIENNA RD, SUITE I, CLIO, MI 48420-2803
(810) 564-2000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004242
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900B513980
BCBS OF MI
—
05
—
94-4839830
—
MI
Enumeration date
06/13/2006
Last updated
05/30/2013
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