Organization
PASQUA LLC
Active
Parent organization
PASQUA LLC
Other names
New Vision Eye Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
PASQUA LLC
Authorized official
LOIS J HIBNER (EXECUTIVE DIRECTOR)
(989) 724-7440
Entity
Organization
Contact information
Practice address
100 S MAIN ST, CHEBOYGAN, MI 49721-1658
(231) 627-3149
(231) 627-3855
Mailing address
100 S MAIN ST, CHEBOYGAN, MI 49721-1658
(231) 627-3149
(231) 627-3855
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900C510530
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/31/2008
Last updated
07/08/2009
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