Som I Kwon, OD | |
118 Cass Ave, Mount Clemens, MI 48043-2204 | |
(586) 468-7612 | |
Not Available |
Full Name | Som I Kwon |
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Gender | Female |
Speciality | Optometrist |
Location | 118 Cass Ave, Mount Clemens, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982200283 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901005501 (Michigan) | Primary |
Provider Name | Gainesville Eye Associates, L.l.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285617647 PECOS PAC ID: 2860486438 Enrollment ID: O20040414001390 |
Mailing Address | Practice Location Address |
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Som I Kwon, OD 48627 Trillium Ave, Macomb, MI 48042-3854 Ph: () - | Som I Kwon, OD 118 Cass Ave, Mount Clemens, MI 48043-2204 Ph: (586) 468-7612 |
Dr. Jennifer M Claudio, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 118 Cass Ave, Mount Clemens, MI 48043 Phone: 586-468-7612 Fax: 586-468-9701 | |
Dr. Robert Guy Farrell Jr., O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 140 Macomb Pl, Mount Clemens, MI 48043 Phone: 586-322-1875 | |
Svs Vision Inc Optometrist Medicare: Medicare Enrolled Practice Location: 118 Cass Ave, Mount Clemens, MI 48043 Phone: 586-468-7612 Fax: 586-468-9701 | |
Jennifer J. Kim, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 118 Cass Ave, Mount Clemens, MI 48043 Phone: 586-468-7370 | |
Mrs. Ann Fredal, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 136 Cass Ave, Mount Clemens, MI 48043 Phone: 586-468-4211 | |
Tessa Fredal, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 136 Cass Ave, Mount Clemens, MI 48043 Phone: 586-468-4211 | |
Dr. Sheldon Lee Smith, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 118 Cass Ave, Mount Clemens, MI 48043 Phone: 586-468-7370 |