| Distinctive Eyewear, Inc. | |
|
1280 S 9th St, Saint Clair, MI 48079-5368 | |
| (810) 329-9725 | |
| (810) 329-3491 |
| Full Name | Distinctive Eyewear, Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1280 S 9th St, Saint Clair, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336179597 | NPI | - | NPPES |
| 101422 | Other | MI | GREAT LAKES HEALTH PLAN |
| 13314 | Other | MI | SPECTERA |
| 900G467000 | Other | MI | BLUE CROSS |
| MI2751 | Other | MI | EYEMED |
| MI02751 | Other | MI | VISION BENEFIT OF AMERICA |
| 943020464 | Medicaid | MI | |
| 12065 | Other | MI | HEALTH PLAN OF MI |
| 25289 | Other | MI | NATIONAL VISION ADMIN. |
| GK490100 | Other | MI | BLUE CROSS PIN # |
| 145807 | Other | MI | COLE VISION DOCTOR # |
| 146505 | Other | MI | COLE VISION LOCATION # |
| 3020464 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901002751 (Michigan) | Primary |
| Provider Name | Arlene D Barton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952442964 PECOS PAC ID: 1355488644 Enrollment ID: I20091019000316 |
| Provider Name | Carol Allen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902941537 PECOS PAC ID: 2264735018 Enrollment ID: I20160128000708 |
| Mailing Address | Practice Location Address |
|---|---|
| Distinctive Eyewear, Inc. 1280 S 9th St, Saint Clair, MI 48079-5368 Ph: (810) 329-9725 | Distinctive Eyewear, Inc. 1280 S 9th St, Saint Clair, MI 48079-5368 Ph: (810) 329-9725 |
Son Od Plc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 201 N Riverside Ave, Saint Clair, MI 48079 Phone: 800-743-0396 | |
Dr. Michael M Caister, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1921 Fred Moore Hwy, Saint Clair, MI 48079 Phone: 810-326-3937 Fax: 810-326-0584 | |
Dr. Kathleen Marie Tolen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1102 S 7th St Apt 2, Saint Clair, MI 48079 Phone: 810-329-2447 Fax: 810-982-0227 |