Individual
DR. JAMISON ELIZABETH VISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
420 E GRAND RIVER AVE, BRIGHTON, MI 48116-1516
(810) 227-2004
(810) 227-9910
Mailing address
420 E GRAND RIVER AVE, BRIGHTON, MI 48116-1516
(810) 227-2004
(810) 227-9910
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004308
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891755120
—
MI
01
—
H17642020
MEDICARE - UNSPECIFIED
—
01
—
JB004308
BCBS MICHIGAN
—
Enumeration date
03/23/2006
Last updated
01/19/2018
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