| Sunrise Vision Care | |
|
621 E Lake St, Tawas City, MI 48763-9213 | |
| (989) 299-8409 | |
| (989) 984-0931 |
| Full Name | Sunrise Vision Care |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 621 E Lake St, Tawas City, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982933586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901003215 (Michigan) | Primary |
| Provider Name | Susan M Moon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497912174 PECOS PAC ID: 7810905007 Enrollment ID: I20090921000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Vision Care Po Box 111, East Tawas, MI 48730-0111 Ph: () - | Sunrise Vision Care 621 E Lake St, Tawas City, MI 48763-9213 Ph: (989) 299-8409 |
Susan Marie Moon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 621 E Lake St, Tawas City, MI 48763 Phone: 989-984-0929 Fax: 989-984-0931 | |
Dr. Jeffrey Michael Chadwick, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 325 M-55 East, Tawas City, MI 48763 Phone: 989-362-2754 Fax: 989-362-6231 | |
Jeffrey M Chadwick O D P C Optometrist Medicare: Medicare Enrolled Practice Location: 325 E M 55, Tawas City, MI 48763 Phone: 989-362-2754 Fax: 989-362-6231 |