Portage Family Vision Care, PC

NPI #1679873343 in Portage, Michigan

Provider Information

NPI Number: 1679873343
Entity Type: Organization
Organization Name: Portage Family Vision Care, PC
Primary Specialty: Optometrist
Enumeration Date: Oct 28, 2010
Last Updated: Oct 28, 2010

Practice Location

Address: 6483 S. WESTNEDGE AVE.
City: Portage
State: Michigan
ZIP Code: 49002-3542
Phone: (269) 324-4242

Authorized Official

Name: DR. DEANNA LYN MAYO, OD
Title: OD/OWNER
Phone: (269) 324-4242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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