Individual
THOMAS JOHN SCHAPERKOTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6795 US 31 S, CHARLEVOIX, MI 49720-9701
(231) 547-4486
(231) 547-6668
Mailing address
6795 US 31 S, CHARLEVOIX, MI 49720-9701
(231) 547-4486
(231) 547-6668
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002508
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410023002
PALMETTO GBA - RAILROAD MEDICARE
—
01
—
900A56502
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/07/2005
Last updated
04/16/2013
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