Organization
U P EYE SPECIALISTS PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS R SHEARER MDPC (OWNER/PARTNER)
(906) 225-4512
Entity
Organization
Contact information
Practice address
901 LAKESHORE DR, SUITE 102, ISHPEMING, MI 49849-1367
(906) 225-4512
(906) 225-4514
Mailing address
1414 W FAIR AVE, SUITE 347, MARQUETTE, MI 49855-2675
(906) 225-4512
(906) 225-4514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033407770
—
MI
05
—
2805583
—
MI
05
—
3122446
—
MI
05
—
3179850
—
MI
05
—
4500051
—
MI
Enumeration date
02/05/2009
Last updated
05/15/2013
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