O Clair, Holly Sue

O Clair, Holly Sue is an individual health care provider with primary practice located at 1014 College Ave , Houghton MI 49931-1823. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. O Clair, Holly Sue can be contacted via phone (906) 482-6800.

Contact Information

Primary practice address
1014 College Ave Houghton MI 49931-1823
Fax: (906) 482-5120
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901004181 Michigan
Eye and Vision Services Providers / Optometrist 152W00000X 2784 Minnesota

Profile Details

NPI number 1053324426
LBN Legal business name O Clair, Holly Sue
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jan 9th, 2013 - about 11 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 1053324426 NPPES
Michigan MEDICAID 944923666

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