MRS. Teresa Marie Ennis-Decker, O.D.
NPI #1154322956 in Millington, Michigan
Provider Information
- NPI Number
- 1154322956
- Entity Type
- Individual
- Name
- MRS. Teresa Marie Ennis-Decker, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Aug 3, 2005
- Last Updated
- Jul 3, 2012
Practice Location
- Address
- 9575 STATE RD
- City
- Millington
- State
- Michigan
- ZIP Code
- 48746-9482
- Phone
- (989) 871-9552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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Organizations
| Provider Name | |
|---|---|
| Lakeville Eye Care Center, Inc. |
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