Organization
RAPIDS OPHTHALMOLOGY, P.C.
Active
Other names
Crew Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BOSS D.O. (VICE PRESIDENT)
(231) 796-0010
Entity
Organization
Contact information
Practice address
491 W SHAW ST, HOWARD CITY, MI 49329-9401
(231) 937-8206
(231) 937-9060
Mailing address
650 LINDEN ST, STE 5, BIG RAPIDS, MI 49307-1879
(231) 796-0010
(231) 796-2496
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
DP003941
MI
207W00000X
Ophthalmology Physician
BC042824
MI
207W00000X
Ophthalmology Physician
Primary
JB013778
MI
207W00000X
Ophthalmology Physician
RC008359
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E41021
BCBSM
MI
01
—
0E41065
BCBSM
MI
Enumeration date
03/22/2010
Last updated
03/22/2010
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