Port Huron Ophthalmology, Pllc

LBN: Port Huron Ophthalmology, Pllc
Port Huron Ophthalmology, Pllc is an health care organization with primary practice located at 1660 Stone St , Port Huron MI 48060-3344. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Port Huron Ophthalmology, Pllc can be contacted via phone (810) 985-9600, or through Favero, Brenda Jean via phone (810) 985-9600.

Contact Information

Primary practice address
1660 Stone St Port Huron MI 48060-3344
Phone: (810) 985-9600
Fax: (810) 985-9244
Website:
Map and Directions
Authorized official contact:
Name: Favero, Brenda Jean
Phone: (810) 985-9600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X BF064615 Michigan

Profile Details

NPI number 1376558122
LBN Legal business name Port Huron Ophthalmology, Pllc
DBA Doing business as
Authorized official Favero, Brenda Jean
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Nov 24th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376558122 NPPES
Michigan Other 180G412660 BCBSM GRP
Michigan Other 180028563 BCBSM GRP

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