Three Rivers Eyecare PC

NPI #1063450278 in Three Rivers, Michigan

Provider Information

NPI Number: 1063450278
Entity Type: Organization
Organization Name: Three Rivers Eyecare PC
Subpart: Yes (part of a larger organization)
Parent Organization: THREE RIVERS EYECARE PC
Primary Specialty: Eyewear Supplier
Enumeration Date: Jun 2, 2006
Last Updated: Jul 29, 2009

Practice Location

Address: 56847 N MAIN ST
City: Three Rivers
State: Michigan
ZIP Code: 49093
Phone: (269) 273-5825

Authorized Official

Name: MICHAEL L SUSSEX, OD
Title: PRESIDENT
Phone: (517) 278-6303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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