Individual
CRYSTAL M CARRINGTON-HELLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
E6112 E BLUFFVIEW RD, SUITE 102, IRONWOOD, MI 49938-9367
(906) 932-1436
(906) 932-0644
Mailing address
N10565 GRANDVIEW LN, IRONWOOD, MI 49938-9622
(906) 932-1500
(906) 932-4585
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004267
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38626500
WISCONSIN MEDICAID
WI
05
—
4733142
—
MI
01
—
900B710160
MICHIGAN BLUE CROSS BLUE
MI
Enumeration date
08/22/2005
Last updated
11/23/2009
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