Organization
VISION MAX PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAX H. ENGELMAN OD (OWNER)
(231) 439-3937
Entity
Organization
Contact information
Practice address
1323 SPRING ST, PETOSKEY, MI 49770-8720
(231) 439-3937
(231) 439-9058
Mailing address
1323 SPRING ST, PETOSKEY, MI 49770-8720
(231) 439-3937
(231) 439-9058
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2958
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B41116
BLUECROSS
MI
01
—
0P50250
WPS
MI
05
—
3522537
—
MI
01
—
U31661
UPIN
MI
Enumeration date
08/22/2007
Last updated
03/16/2010
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