| Dr Mark John Sanitate, OD | |
|
3160 Gratiot Blvd, Marysville, MI 48040-1488 | |
| (810) 364-5520 | |
| (810) 364-6545 |
| Full Name | Dr Mark John Sanitate |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 3160 Gratiot Blvd, Marysville, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144356726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901003258 (Michigan) | Primary |
| Provider Name | Svs Vision Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194879023 PECOS PAC ID: 9931257110 Enrollment ID: O20090427000507 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark John Sanitate, OD 140 Macomb Pl, Mount Clemens, MI 48043-5651 Ph: (586) 468-7370 | Dr Mark John Sanitate, OD 3160 Gratiot Blvd, Marysville, MI 48040-1488 Ph: (810) 364-5520 |
Patrick August Deview, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3160 Gratiot, Marysville, MI 48040 Phone: 810-364-5520 Fax: 810-364-6545 | |
Thomas Woytta, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1100 Michigan Ave, Marysville, MI 48040 Phone: 810-364-1334 Fax: 810-364-1075 | |
Erica Gagnon, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3184 Gratiot Blvd, Marysville, MI 48040 Phone: 810-364-5520 | |
Thomas Woytta Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1100 Michigan Ave, Marysville, MI 48040 Phone: 810-364-1334 Fax: 810-364-1075 | |
Julia Mobilio, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3184 Gratiot Blvd, Marysville, MI 48040 Phone: 810-364-5520 Fax: 810-364-6545 |