Organization
MID MICHIGAN FAMILY EYE CARE PLLC
Active
Other names
Mid Michigan Eye
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN MICHAEL HALES O.D. (OPTOMETRIST)
(989) 386-2020
Entity
Organization
Contact information
Practice address
1520 N MCEWAN ST # B, CLARE, MI 48617-1196
(989) 386-2020
(989) 386-7308
Mailing address
1520 N MCEWAN ST STE B, CLARE, MI 48617-1196
(989) 386-2020
(989) 386-7308
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004640
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A80041
BLUECROSS BLUESHIELD
MI
05
—
1902152762
—
MI
Enumeration date
07/31/2012
Last updated
06/28/2013
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