Accelerated Care of Michigan
Organization Active NPI Ophthalmic Assistant · Essexville, MI
NPI 1265640700 · NPPES record last updated Feb 28, 2008
Key facts
- NPI
- 1265640700
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmic Assistant 156FX1101X
- Legal business name
- ACCELERATED CARE OF MICHIGAN
- Practice address
- 1003 Woodside Ave
Essexville, MI 48732-1234 - Phone
- (989) 892-7722
- Fax
- (989) 892-7455
- NPI assigned
- May 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Raymond Watts
- Title
- President
- Phone
- (989) 892-7722
Practitioners 7
-
Jack A Dekkinga, MD
-
Trang H Phan, PA-C
-
Robert J Roosenberg, M.D.
-
Elizabeth Anne Smith, N.P.
-
Kelley Marie Young, FNP
National Provider Directory
Locations
6901 Okeechobee Blvd
#J17
West Palm Beach, FL 33411
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Assistant |
156FX1101X | Yes |
Addresses
Primary practice location
1003 Woodside Ave
Essexville, MI 48732-1234
Mailing address
6901 Okeechobee Blvd
Box J17
West Palm Beach, FL 33411-2511
Phone (989) 892-7722
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0Z91060 | Other | MI | MI BLUE CROSS |
Other providers in Essexville, MI
All providers in Essexville, MI · Ophthalmic Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 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.