Mid Michigan Eye Care Center, PC

NPI #1649275041 in Jackson, Michigan

Provider Information

NPI Number: 1649275041
Entity Type: Organization
Organization Name: Mid Michigan Eye Care Center, PC
Primary Specialty: Optometrist
Enumeration Date: Jun 14, 2005
Last Updated: Nov 26, 2018

Practice Location

Address: 1116 W. GANSON STREET
City: Jackson
State: Michigan
ZIP Code: 49202-4240
Phone: (877) 852-8463

Authorized Official

Name: MR. THOMAS T ROARK
Title: CEO
Phone: (517) 841-3007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary
Ophthalmology	207W00000X
Ophthalmology - Retina Specialist — Retina Specialist	207WX0107X

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