| Southwest Vision Center Inc. | |
|
69001 M 62, Suite E, Edwardsburg, MI 49112-9131 | |
| (989) 289-2669 | |
| Not Available |
| Full Name | Southwest Vision Center Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 69001 M 62, Edwardsburg, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871852939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901004625 (Michigan) | Primary |
| Provider Name | Jennifer L Lambart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538323407 PECOS PAC ID: 7012083793 Enrollment ID: I20111026000575 |
| Provider Name | Andrew M Bolles |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720362585 PECOS PAC ID: 7719150101 Enrollment ID: I20140212001084 |
| Provider Name | Katherine M Marshall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255740239 PECOS PAC ID: 7012139223 Enrollment ID: I20141103002221 |
| Provider Name | Krysten L Avery |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770670697 PECOS PAC ID: 8628290392 Enrollment ID: I20141112002483 |
| Provider Name | Dana Hawkins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700303807 PECOS PAC ID: 1052716933 Enrollment ID: I20210817000458 |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Vision Center Inc. 69001 M 62, Suite E, Edwardsburg, MI 49112-9131 Ph: () - | Southwest Vision Center Inc. 69001 M 62, Suite E, Edwardsburg, MI 49112-9131 Ph: (989) 289-2669 |
Jennifer Lynn Lambart, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 69001 M 62 Ste E, Edwardsburg, MI 49112 Phone: 269-414-4492 Fax: 269-414-4493 |