| Michael E Jonassen, O.d. P.c. | |
|
44 S State St, Hart, MI 49420-1123 | |
| (231) 873-2575 | |
| (231) 873-2593 |
| Full Name | Michael E Jonassen, O.d. P.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 44 S State St, Hart, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568655355 | NPI | - | NPPES |
| 2644375 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901003163 (Michigan) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 4901003163 (Michigan) | Secondary |
| Provider Name | Michael E Jonassen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922187673 PECOS PAC ID: 6608927314 Enrollment ID: I20090619000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael E Jonassen, O.d. P.c. 44 S State St, Hart, MI 49420-1123 Ph: (231) 873-2575 | Michael E Jonassen, O.d. P.c. 44 S State St, Hart, MI 49420-1123 Ph: (231) 873-2575 |
Craig James Rybarz, OD Optometrist Medicare: Medicare Enrolled Practice Location: 44 S State St, Hart, MI 49420 Phone: 231-873-2575 Fax: 231-873-2593 | |
Dr. Michael Edward Jonassen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 44 S State St, Hart, MI 49420 Phone: 231-873-2575 Fax: 231-873-2593 |