| Dr Derek Frederick Fatura, OD | |
|
4854 W Us Highway 10, Ludington, MI 49431-8703 | |
| (231) 843-6553 | |
| Not Available |
| Full Name | Dr Derek Frederick Fatura |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 4854 W Us Highway 10, Ludington, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871601294 | NPI | - | NPPES |
| 48638 | Other | MI | DAVIS VISION ID# |
| WALM19063 | Other | MI | SPECTERA USER ID# |
| 213230 | Other | MI | COLE MANAGED VISION CIA# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901004196 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derek Frederick Fatura, OD 6123 Alliene Rd, Ludington, MI 49431-9653 Ph: (231) 843-6640 | Dr Derek Frederick Fatura, OD 4854 W Us Highway 10, Ludington, MI 49431-8703 Ph: (231) 843-6553 |
Kent Vision Centers Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7 Atkinson Dr, Suite 115, Ludington, MI 49431 Phone: 231-843-2571 Fax: 231-845-7374 | |
Holly Brianna Goodwin, OD Optometrist Medicare: Medicare Enrolled Practice Location: 409 W Ludington Ave, Ludington, MI 49431 Phone: 231-843-4117 | |
Dr. Amanda L Lang, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5959 Lawndale St, Ludington, MI 49431 Phone: 231-845-6261 Fax: 231-843-9171 | |
Julie P Ritter, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5959 Lawndale St, Ludington, MI 49431 Phone: 231-845-6261 Fax: 231-843-9171 | |
West Shore Eye Care Pc Optometrist Medicare: Medicare Enrolled Practice Location: 409 W Ludington Ave, Ludington, MI 49431 Phone: 231-843-4117 | |
Dr. John Michael Large, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5959 Lawndale St, Ludington, MI 49431 Phone: 231-845-6261 Fax: 231-843-9171 | |
Andrew S Riemer Do Pc Optometrist Medicare: Medicare Enrolled Practice Location: 5959 Lawndale St, Ludington, MI 49431 Phone: 231-845-6261 Fax: 231-843-9171 |