Eye Center of Lenawee P.C.
Organization Active NPI Optometrist · Adrian, MI
NPI 1306906540 · NPPES record last updated Dec 6, 2012
Key facts
- NPI
- 1306906540
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- EYE CENTER OF LENAWEE P.C.
- Practice address
- 1400 W Maumee St
Adrian, MI 49221-1804 - Phone
- (517) 265-5444
- Fax
- (517) 264-5182
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Rick Allen Snow, O.D.
- Title
- President - Owner
- Phone
- (517) 265-5444
Practitioners 3
-
Chelsea Faith Frey, O.D.
-
Annessa M Dix, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051019000167 | MI | Part B Supplier - Clinic/Group Practice | 6800812868 |
Receives reassigned benefits from 2 practitioners Practice locations: Adrian, MI |
National Provider Directory
Locations
1400 W Maumee St
Adrian, MI 49221
Phone (517) 263-9498
168 S Main St
Brooklyn, MI 49230
168 S Main St
Ste A
Brooklyn, MI 49230
Phone (517) 592-6452
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
1400 W Maumee St
Adrian, MI 49221-1804
Mailing address
PO Box 336
Adrian, MI 49221-0336
Phone (517) 265-5444
Other names
- Brooklyn Eye Center
Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2012. 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.