Nametz, John M

Nametz, John M is an individual health care provider with primary practice located at 108 W Savidge St , Spring Lake MI 49456-1603. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Nametz, John M can be contacted via phone (616) 846-2280.

Contact Information

Primary practice address
108 W Savidge St Spring Lake MI 49456-1603
Fax: (616) 846-2294
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901002657 Michigan

Profile Details

NPI number 1124098793
LBN Legal business name Nametz, John M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Dec 20th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124098793 NPPES
Michigan Other 900G065260 BC/BS OF MICHIGAN
Michigan MEDICAID 94-5098027 BC/BS OF MICHIGAN

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