Organization
OGAWA MACOMB EYE CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY BARLOG (MANAGER)
(586) 558-5010
Entity
Organization
Contact information
Practice address
11900 12 MILE ROAD, SUITE 206, WARREN, MI 48093
(586) 558-5010
(586) 558-5013
Mailing address
11900 12 MILE ROAD, SUITE 206, WARREN, MI 48093
(586) 558-5010
(586) 558-5013
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
AO029327
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1805001581
BLUE CROSS BLUE SHIELD
MI
05
—
2878481
—
MI
01
—
P40293
BLUE CARE NETWORK
MI
Enumeration date
04/20/2007
Last updated
11/19/2008
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