Organization
NORTHERN VISION EYE CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT K BUTRYN II MD (OWNER)
(231) 932-9000
Entity
Organization
Contact information
Practice address
4033 EASTER SKY DRIVE, TRAVERSE CITY, MI 49684
(231) 932-9000
Mailing address
PO BOX 1907, TRAVERSE CITY, MI 49685-1907
(231) 932-9000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG7309
RAILROAD MEDICARE
MI
Enumeration date
09/05/2006
Last updated
06/23/2008
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