| Abp Eyesite Pc | |
|
1230 E.broomfield, Suite 6, Mt.pleasant, MI 48858 | |
| (989) 773-2020 | |
| (989) 772-7757 |
| Full Name | Abp Eyesite Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1230 E.broomfield, Mt.pleasant, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417179862 | NPI | - | NPPES |
| 900C710170 | Other | MI | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Michigan) | Primary |
| Provider Name | Erin R Miller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619958519 PECOS PAC ID: 5092791483 Enrollment ID: I20040626000090 |
| Provider Name | Jason M Andrus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013319268 PECOS PAC ID: 7618289695 Enrollment ID: I20150706000200 |
| Provider Name | Clement I Nwadozi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548713456 PECOS PAC ID: 6406143825 Enrollment ID: I20170427000077 |
| Provider Name | Andrea C Lirones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306367602 PECOS PAC ID: 8325319783 Enrollment ID: I20170802002998 |
| Provider Name | Nathan Charles Traxler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992291751 PECOS PAC ID: 1355684531 Enrollment ID: I20190511000104 |
| Provider Name | Luke T Lirones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013576115 PECOS PAC ID: 1850627092 Enrollment ID: I20190725003674 |
| Mailing Address | Practice Location Address |
|---|---|
| Abp Eyesite Pc 1230 E.broomfield, Suite 6, Mt.pleasant, MI 48858 Ph: (989) 773-2020 | Abp Eyesite Pc 1230 E.broomfield, Suite 6, Mt.pleasant, MI 48858 Ph: (989) 773-2020 |