| Avery Vision Center Pc | |
|
1002 N Us 27, St Johns, MI 48879 | |
| (989) 224-3937 | |
| (989) 224-4999 |
| Full Name | Avery Vision Center Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1002 N Us 27, St Johns, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174677959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Edward Avery Peters |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740270388 PECOS PAC ID: 4688750300 Enrollment ID: I20080320000638 |
| Provider Name | Thu Thi Anh To |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508942376 PECOS PAC ID: 6608836291 Enrollment ID: I20120926000818 |
| Provider Name | Roxanne Rottiers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205212131 PECOS PAC ID: 2264746932 Enrollment ID: I20150810000527 |
| Provider Name | Edward Peters |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134613680 PECOS PAC ID: 0547511503 Enrollment ID: I20181002000147 |
| Provider Name | Zachary B Peters |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528633914 PECOS PAC ID: 5294135877 Enrollment ID: I20210618001270 |
| Provider Name | Jennifer Eaton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215627732 PECOS PAC ID: 1951761436 Enrollment ID: I20230714003490 |
| Mailing Address | Practice Location Address |
|---|---|
| Avery Vision Center Pc 1002 N Us 27, St Johns, MI 48879 Ph: (989) 224-3937 | Avery Vision Center Pc 1002 N Us 27, St Johns, MI 48879 Ph: (989) 224-3937 |