Individual
DR. KEN N FEINAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1180 N MONROE ST, MONROE, MI 48162-3190
(734) 243-5300
(734) 243-9956
Mailing address
1180 N MONROE ST, MONROE, MI 48162-3190
(734) 243-5300
(734) 243-9956
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4453 T1109
OH
152W00000X
Optometrist
Primary
4901002690
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180E810890
BCBS BCN
MI
05
—
2612104
—
OH
05
—
4835269
—
MI
01
—
9310791
MEDICARE GROUP
OH
01
—
P00288208
MEDICARE RAILROAD
—
Enumeration date
05/17/2006
Last updated
09/29/2009
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