Organization
PRIMARY EYE AND VISION CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH SAMUEL CONRAD OD, MS (CEO)
(863) 368-0502
Entity
Organization
Contact information
Practice address
1191 BYRON RD, HOWELL, MI 48843-1005
(517) 546-4655
(517) 546-0899
Mailing address
1191 BYRON RD, HOWELL, MI 48843-1005
(517) 546-4655
(517) 546-0899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004635
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902194970
BLUE CROSS BLUE SHIELD
MI
01
—
MI4786
MEDICARE
MI
Enumeration date
07/12/2011
Last updated
11/20/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us