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Organization

FERRIS STATE UNIVERSITY

Active
Other names
University Eye Center
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JENNIFER M OSOSKI RHIA (MEDICAL RECORDS/INSURANCE SPECIALIS)
(231) 591-3056
Entity
Organization

Contact information

Practice address
1124 S STATE, 101 H, BIG RAPIDS, MI 49307
(231) 591-2020
(231) 591-3991
Mailing address
1124 S STATE, 101 H., BIG RAPIDS, MI 49307
(231) 591-2020
(231) 591-3991

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MI
332H00000X
Eyewear Supplier
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0M41110
MEDICARE
MI
01
180E410080
BLUE CROSS
MI
01
900006367
PRIORITY HEALTH
MI
01
900E47602
BLUE CROSS
01
900E476020
BLUE CROSS
01
999998001
VSP
MI
Enumeration date
07/16/2006
Last updated
11/19/2013
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