Organization
PASQUA LLC
Active
Other names
New Vision Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMMASINA PASQUA DARNELL O.D (OWNER)
(989) 724-7440
Entity
Organization
Contact information
Practice address
1704 E US 23, EAST TAWAS, MI 48730-9329
(989) 362-3478
(989) 362-2380
Mailing address
PO BOX 563, HARRISVILLE, MI 48740-0563
(989) 362-3478
(989) 362-2380
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003704
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900C510530
BLUE CROSS BLUE SHIELD
MI
Enumeration date
08/04/2008
Last updated
09/02/2010
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