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

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193200000X MULTI-SPECIALTY GROUP
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

All providers in Douglas, MI · Optometrist in Michigan

Sources for this page

Verify at the official NPI Registry.