Richard C Annis OD PC
Organization Active NPI Optometrist · Douglas, MI
NPI 1053583476 · NPPES record last updated Mar 26, 2008
Key facts
- NPI
- 1053583476
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901003075 (MI)
- Legal business name
- RICHARD C ANNIS OD PC
- Practice address
- 114 Blue Star Highway
Douglas, MI 49406-0280 - Phone
- (269) 857-2020
- Fax
- (269) 857-4149
- NPI assigned
- Mar 26, 2008
- Organization subpart
- No
Authorized official
- Name
- Richard C Annis III, OD
- Title
- President
- Phone
- (269) 857-2020
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 4901003075 | MI | Yes |
Addresses
Primary practice location
114 Blue Star Highway
Douglas, MI 49406-0280
Mailing address
114 Blue Star Highway
Douglas, MI 49406-0280
Phone (269) 857-2020
Other providers in Douglas, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.