| NPI | 1649689860 |
|---|---|
| Doing Business As | PROMEDICA PHYSICIANS EYE CARE |
| Entity Type | Organization |
| Authorized Contact | ANDREA R MARSHALL Credentialing Specialist 567-585-1997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 152W00000X Optometrist | |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2018-08-27 |