1326318734 NPI number — FRUITPORT FAMILY EYE CARE, PLLC

Table of content: (NPI 1326318734)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326318734 NPI number — FRUITPORT FAMILY EYE CARE, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRUITPORT FAMILY EYE CARE, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326318734
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/03/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
388 N 3RD AVE
Provider Second Line Business Mailing Address:
STE I
Provider Business Mailing Address City Name:
FRUITPORT
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49415-9785
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
231-865-9990
Provider Business Mailing Address Fax Number:
231-865-9991

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
388 N 3RD AVE
Provider Second Line Business Practice Location Address:
STE I
Provider Business Practice Location Address City Name:
FRUITPORT
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49415-9785
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
231-865-9990
Provider Business Practice Location Address Fax Number:
231-865-9991
Provider Enumeration Date:
01/03/2012

Additional Information

Authorized Official

Authorized Official Last Name:
OSBORNE
Authorized Official First Name:
DEBORAH
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
SINGLE OWNER
Authorized Official Telephone Number:
231-865-9990

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  4901003947 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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