Organization
LIVINGSTON COUNTY VISION CENTER
Active
Other names
Eye Care One of Livingston County
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD ROBERT NIXON O.D. (PRESIDENT/OWNER)
(517) 546-9242
Entity
Organization
Contact information
Practice address
2674 E GRAND RIVER AVE, HOWELL, MI 48843-8544
(517) 546-9242
(517) 546-7840
Mailing address
2674 E GRAND RIVER AVE, HOWELL, MI 48843-8544
(517) 546-9242
(517) 546-7840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004200
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4787760 TYPE 94
—
MI
01
—
4901004200
STATE LICENSE NUMBER
MI
01
—
900D710770
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/19/2008
Last updated
05/07/2014
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