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Organization

DEAN & AUBRY OPTOMETRISTS PC

Active
Other names
AUSABLE EYECARE
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM I DEAN OD (CEO)
(989) 348-3211
Entity
Organization

Contact information

Practice address
904 E MICHIGAN AVE, GRAYLING, MI 49738-1308
(989) 348-3211
(989) 348-7852
Mailing address
PO BOX 416, GRAYLING, MI 49738-0416
(989) 348-3211
(989) 348-7852

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003060
MI
152W00000X
Optometrist
4901003748
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4152557
MA
05
4152566
MA
01
900B010050
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/31/2006
Last updated
05/18/2010
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