Organization
DEWITT OPTOMETRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY CATALINE (INSURANCE PATIENT ACCOUNTS)
(517) 669-4411
Entity
Organization
Contact information
Practice address
12900 S US-27, #7, DEWITT, MI 48820
(517) 669-4411
(517) 669-4411
Mailing address
12900 S US-27, STE #7, DEWITT, MI 48820
(517) 669-4411
(517) 669-4433
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003197
MI
152W00000X
Optometrist
JK003635
MI
Other
Enumeration date
05/17/2006
Last updated
08/18/2008
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