| Sault Tribe Of Chippewa Indians | |
|
2864 Ashmun St, Sault Sainte Marie, MI 49783-3740 | |
| (906) 632-5200 | |
| (906) 632-5276 |
| Full Name | Sault Tribe Of Chippewa Indians |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2864 Ashmun St, Sault Sainte Marie, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902074586 | NPI | - | NPPES |
| 0A76010 | Other | MI | BC/BS OF MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| Provider Name | Dale W Muth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659380293 PECOS PAC ID: 2961444096 Enrollment ID: I20050527000639 |
| Provider Name | Dale Robert Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629029095 PECOS PAC ID: 6204847668 Enrollment ID: I20060526000036 |
| Provider Name | Shelly D Baker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336256288 PECOS PAC ID: 4183629033 Enrollment ID: I20060927000200 |
| Provider Name | Krysta Danyell Hinman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194829382 PECOS PAC ID: 4880794452 Enrollment ID: I20070711000676 |
| Provider Name | Jeffrey Lozen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437173655 PECOS PAC ID: 8123134319 Enrollment ID: I20101117001623 |
| Provider Name | Benjamin Lawless |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437717329 PECOS PAC ID: 7315271525 Enrollment ID: I20190621001724 |
| Mailing Address | Practice Location Address |
|---|---|
| Sault Tribe Of Chippewa Indians 2864 Ashmun St, Sault Sainte Marie, MI 49783-3740 Ph: (906) 632-5200 | Sault Tribe Of Chippewa Indians 2864 Ashmun St, Sault Sainte Marie, MI 49783-3740 Ph: (906) 632-5200 |
Sault Vision Clinic, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 3360 I 75 Business Spur, Sault Sainte Marie, MI 49783 Phone: 906-635-0861 Fax: 906-635-0581 | |
Optom Eye Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2237 Ashmun St, Sault Sainte Marie, MI 49783 Phone: 906-635-9600 Fax: 906-635-1077 | |
Dr. Tom K Culina, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4516 I 75 Business Spur, Walmart Vision Center, Sault Sainte Marie, MI 49783 Phone: 906-632-0588 Fax: 906-632-0661 | |
Kelly Fisher Optometry Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3763 I 75 Business Spur, Sault Sainte Marie, MI 49783 Phone: 906-635-3430 | |
Eric J. Siesel, O.d.p.c. Optometrist Medicare: Medicare Enrolled Practice Location: 3265 S. M-129, Sault Sainte Marie, MI 49783 Phone: 906-635-9347 | |
Dr. Jeffrey William Lozen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3360 I 75 Business Spur, Sault Sainte Marie, MI 49783 Phone: 906-623-7258 Fax: 906-635-0581 | |
Brian Matthews O.d. L.l.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 128 W Spruce St, Sault Sainte Marie, MI 49783 Phone: 906-635-9600 |