Specialty Eye Institute
LBN: Mid Michigan Eye Care Center, Pc
Specialty Eye Institute is an health care organization with primary practice located at 1116 W. Ganson Street , Jackson MI 49202-4240. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Mid Michigan Eye Care Center, Pc can be contacted via phone (877) 852-8463, or through Roark, Thomas T via phone (517) 841-3007.
Contact Information
Primary practice address
1116 W. Ganson Street
Jackson MI 49202-4240
Phone: (877) 852-8463
Fax: (517) 817-0144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4301034151 | Michigan |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ||
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X |
Profile Details
| NPI number | 1649275041 |
|---|---|
| LBN Legal business name | Mid Michigan Eye Care Center, Pc |
| DBA Doing business as | Specialty Eye Institute |
| Authorized official | Roark, Thomas T |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Nov 26th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649275041 | NPPES |
| Michigan | Other | CC5220 | RAILROAD MEDICARE |
| Michigan | Other | 900H115380 | RAILROAD MEDICARE |
| Michigan | Other | 180C846310 | RAILROAD MEDICARE |
| Michigan | Other | 180H149970 | RAILROAD MEDICARE |
| Michigan | Other | 900C848370 | RAILROAD MEDICARE |
| Michigan | Other | C31544 | RAILROAD MEDICARE |
| Michigan | Other | 900N834800 | RAILROAD MEDICARE |
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