Retina Vitreous Center, Pc

LBN: Retina Vitreous Center, Pc
Retina Vitreous Center, Pc is an health care organization with primary practice located at 3181 E Grand Blanc Rd , Grand Blanc MI 48439-8117. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Retina Vitreous Center, Pc can be contacted via phone (810) 694-6933, or through Mcleod, Cathy via phone (810) 694-6933.

Contact Information

Primary practice address
3181 E Grand Blanc Rd Grand Blanc MI 48439-8117
Fax: (810) 694-5295
Website:
Authorized official contact:
Name: Mcleod, Cathy

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301039556 Michigan

Profile Details

NPI number 1811192537
LBN Legal business name Retina Vitreous Center, Pc
DBA Doing business as
Authorized official Mcleod, Cathy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2007
Last updated Oct 16th, 2009 - about 17 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 1811192537 NPPES
Michigan MEDICAID 104101440
Michigan MEDICAID 102706763

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