Home » Michigan » 49455 » Oceana Vision Care Llc

Oceana Vision Care Llc

Oceana Vision Care Llc is a health care provider in Shelby, MI. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 24 S Michigan Ave, Shelby, MI 49455-1226, US
Practice Location Phone(23-1) -861-5417
Practice Location Fax231-861-6655
Legal Business NameOCEANA VISION CARE LLC
NPI ?1518480078
Entity TypeOrganization
Enumeration Date ? Jul 17, 2017
Last Update Date ? Jul 17, 2017
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Oceana Vision Care Llc

SpecialtySpecializationLicenseLicense State
Optometrist 4901004818Michigan

legacy-id-icon Legacy Provider IDs of Oceana Vision Care Llc

Provider IdIssuer StateIssuer TypeIssuer
1801284575MichiganMedicaid
5330001150MichiganOtherCONTROLLED DANGEROUS SUBSTANCE (CDS) REGISTRATION CERTIFICATE
MM3426106MichiganOtherDEA REGISTRATION CERTIFICATE

official-icon Authorized Official of Oceana Vision Care Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Oceana Vision Care Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Joseph E Morse (OD)
Authorized Official Title/PositionOWNER
Authorized Official Phone Number231-861-5417