Organization
PASQUA LLC
Active
Parent organization
PASQUA LLC
Other names
New Vision Eye Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
PASQUA LLC
Authorized official
LOIS J HIBNER (EXECUTIVE DIRECTOR)
(989) 724-7440
Entity
Organization
Contact information
Practice address
511 E HOUGHTON AVE, SUITE E, WEST BRANCH, MI 48661-1185
(989) 345-3680
(989) 345-4019
Mailing address
PO BOX 563, HARRISVILLE, MI 48740-0563
(989) 345-3680
(989) 345-4019
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900C510530
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/31/2008
Last updated
09/02/2010
Update your record
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