| Lake Orion Vision Pc | |
|
81 Indianwood Rd, Lake Orion, MI 48362-1595 | |
| (248) 693-2321 | |
| Not Available |
| Full Name | Lake Orion Vision Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 81 Indianwood Rd, Lake Orion, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881072494 | NPI | - | NPPES |
| 1679887814 | Medicaid | MI | |
| 1679887814 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Michigan) | Primary |
| Provider Name | Tiffany K Zair |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679887814 PECOS PAC ID: 6800076233 Enrollment ID: I20110202000313 |
| Provider Name | Lindsey M Ellicott-gasta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174908057 PECOS PAC ID: 0749596427 Enrollment ID: I20150825005538 |
| Provider Name | Marie P Humphrey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740631290 PECOS PAC ID: 4183911423 Enrollment ID: I20160929001758 |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Orion Vision Pc 81 Indianwood Rd, Lake Orion, MI 48362-1595 Ph: () - | Lake Orion Vision Pc 81 Indianwood Rd, Lake Orion, MI 48362-1595 Ph: (248) 693-2321 |
Dr. Robert Emmett Deck Iii, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 81 Indianwood Rd, Suite 1, Lake Orion, MI 48362 Phone: 248-693-2321 | |
Robert E. Deck, Iii O.d., Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 81 Indianwood Rd, Suite 1, Lake Orion, MI 48362 Phone: 248-693-2321 Fax: 248-693-2703 | |
West Point Optical Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 620 N Lapeer Rd, Lake Orion, MI 48362 Phone: 248-814-7011 |