Richard C. Annis III O.D.

NPI 1043270390 - Optometrist - 152W00000X

NPI Details
NPI 1043270390
Gender Male
Enumeration Date 03/23/2006
Last Updated 05/09/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
114 BLUE STAR HIGHWAY
DOUGLAS MI, 49406-0280, US
Phone (269) 857-2020
Fax (269) 857-4149
Business Location
PO BOX 280
DOUGLAS MI, 49406-0280, US
Phone (269) 857-2020
Fax (269) 455-5276
Toxanomy
Taxonomy Code 152W00000X
License State Michigan
License Number 4901003075
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According to our database, Dr. Richard C. Annis III O.D. NPI is 1043270390, taxonomy code is 152W00000X and license number is 4901003075, license state is located at Michigan. Richard C. Annis III O.D. physically located at 114 Blue Star Highway, Douglas MI, 49406-0280. NPI Number Richard C. Annis III O.D. has the Individual type.

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1043270390 NPI number is provided on an as is basis without warranty of any kind. 1043270390 is maintained by the National Plan & Provider Enumeration System. The contents of Richard C. Annis III O.D. are for informational purposes only.