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Organization

CAPITAL CITY VISION PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE WHITMAN (BILLING SPECIALIST)
(517) 349-2393
Entity
Organization

Contact information

Practice address
1865 W GRAND RIVER AVE, OKEMOS, MI 48864-1840
(517) 349-2393
(517) 349-3751
Mailing address
1865 W GRAND RIVER AVE, OKEMOS, MI 48864-1840
(517) 349-2393
(517) 349-3751

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003644
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1017331
MI
05
200000002532
MI
Enumeration date
02/12/2008
Last updated
10/23/2014
About Stedi
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  • EDI platform