| Progressive Eyecare Centre | |
|
1612 E. Centre Ave. Portage MI 49002-4410 | |
| (269) 329-1030 | |
| (269) 329-0966 |
| Full Name | Progressive Eyecare Centre |
|---|---|
| Speciality | Clinic/center |
| Location | 1612 E. Centre Ave., Portage, Michigan |
| Authorized Official Name and Position | Steven S. Ellinger (SOLE MEMBER) |
| Authorized Official Contact | 2693291030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Eyecare Centre 1612 E Centre Ave Portage MI 49002-4410 Ph: (269) 329-1030 | Progressive Eyecare Centre 1612 E. Centre Ave. Portage MI 49002-4410 Ph: (269) 329-1030 |
| NPI Number | 1205955937 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 09/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205955937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | B4444X (Michigan) | Primary |
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