Allison Eye Care Inc
Organization Active NPI Optometrist · Clarkston, MI
NPI 1053460311 · NPPES record last updated Dec 22, 2011
Key facts
- NPI
- 1053460311
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901003620 (MI)
- Legal business name
- ALLISON EYE CARE INC
- Practice address
- 6770 Dixie Hwy
Suite 203
Clarkston, MI 48346 - Phone
- (248) 922-1111
- Fax
- (248) 922-9962
- NPI assigned
- Jan 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Allison M.B. Schulte, O.D.
- Title
- President
- Phone
- (248) 922-1111
Practitioners 1
-
Allison M.B. Schulte, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111216000187 | MI | Part B Supplier - Clinic/Group Practice | 8224203476 |
Receives reassigned benefits from 1 practitioner Practice locations: Clarkston, MI |
National Provider Directory
Locations
6770 Dixie Hwy
Ste 203
Clarkston, MI 48346
Phone (248) 922-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 4901003620 | MI | Yes |
Addresses
Primary practice location
6770 Dixie Hwy
Suite 203
Clarkston, MI 48346
Mailing address
6770 Dixie Hwy
Suite 203
Clarkston, MI 48346
Phone (248) 922-1111
Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.