| Richard C Annis Od Pc | |
|
114 Blue Star Highway, Douglas, MI 49406-0280 | |
| (269) 857-2020 | |
| (269) 857-4149 |
| Full Name | Richard C Annis Od Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 114 Blue Star Highway, Douglas, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053583476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901003075 (Michigan) | Primary |
| Provider Name | Richard C Annis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043270390 PECOS PAC ID: 7012922677 Enrollment ID: I20060217000597 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard C Annis Od Pc 114 Blue Star Highway, Douglas, MI 49406-0280 Ph: (269) 857-2020 | Richard C Annis Od Pc 114 Blue Star Highway, Douglas, MI 49406-0280 Ph: (269) 857-2020 |
Dr. Richard C. Annis Iii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 114 Blue Star Highway, Douglas, MI 49406 Phone: 269-857-2020 Fax: 269-857-4149 | |
Marineau Eye Care, Plc Optometrist Medicare: Medicare Enrolled Practice Location: 114 Blue Star Hwy, Douglas, MI 49406 Phone: 269-857-2020 Fax: 269-857-4099 |