WOLVERINE OPTICAL INC (NPI# 1801910807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801910807 |
| Entity Type | Organization |
| Organization Name | WOLVERINE OPTICAL INC |
| Practice Address |
7314 N Alger Rd Alma MI 48801-1072 |
| Practice Telephone | 9894631838 |
| Mailing Telephone | 9894631838 |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2008-04-24 |
| Authorized Official Name | MR. RICHARD PAUL LETOURNEAU SR. (PRESIDENT) |
| Authorized Official Telephone | 9894631838 |
| Authorized Official Credential | OPTICIAN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MI | Suppliers |
| Street Address |
7314 N ALGER RD |
| City | ALMA |
| State | MI |
| Zip Code | 48801-1072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407365851 | Lisa Diane Ackerman | Social Worker | 608 Wright Ave., Alma, MI 48801 | 2017-09-28 |
| 1679082028 | Amelia Hope Kasper | Case Manager/Care Coordinator | 608 Wright Avenue, Alma, MI 48801 | 2017-09-28 |
| 1245687516 | Mickaela Perez | Technician, Other | 623 W Warwick Dr Ste 2, Alma, MI 48801 | 2016-05-17 |
| 1639443005 | Bobbi L Hall | Pharmacist | 2805 W Cheesman Rd, Alma, MI 48801 | 2012-03-02 |
| 1588998652 | Jonathan Michael Daniels | Physician Assistant | 311 E. Warwick Dr., Alma, MI 48801 | 2009-09-23 |
| 1659593937 | Foot Care Inc | Durable Medical Equipment & Medical Supplies | 115 E Superior Street, Alma, MI 48801 | 2007-05-03 |
| 1689716193 | Sara A Wassenaar | Dentist | 226 N State Street, Alma, MI 48801 | 2007-02-12 |
| 1760574883 | Midmichigan Medical Center- Gratiot | Internal Medicine | 300 E. Warwick Drive, Alma, MI 48801 | 2006-09-28 |
| 1437250305 | Michael Robert St Louis | Physician Assistant | 300 South Warwick Drive, Alma, MI 48801 | 2006-09-25 |
| 1215032099 | Talal Omar Samhan | Urology | 1465 Mary Court, Alma, MI 48801 | 2006-09-14 |
| Find all providers in zip 48801 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720559792 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 11012 E 13 Mile Rd Ste 201, Warren, MI 48093-2547 | 2018-12-17 |
| 1811468184 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 18245 E 10 Mile Rd Ste 130, Roseville, MI 48066-5807 | 2018-12-16 |
| 1407327778 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 3100 Cross Creek Pkwy Ste 150, Auburn Hills, MI 48326-2777 | 2018-12-16 |
| 1003332271 | Wrs Pharmacy Solutions, LLC | Non-Pharmacy Dispensing Site | 112 S Main St Ste A, Ann Arbor, MI 48104-1953 | 2017-08-18 |
| 1457759144 | Perfect Eyes Optical LLC | Non-Pharmacy Dispensing Site | 20880 Gratiot Ave, Eastpointe, MI 48021-2822 | 2014-12-11 |
| 1346478740 | Pristine Medical LLC | Non-Pharmacy Dispensing Site | 1502 W West Maple Rd, Walled Lake, MI 48390-2945 | 2009-06-24 |
| 1255439253 | Anthony J Derrico Do | Non-Pharmacy Dispensing Site | Cancer Care Associates PC, 1701 S Blvd East Ste 350, Rochester Hills, MI 48307 | 2006-09-21 |
| 1336246263 | Clinical Oncology Associates | Non-Pharmacy Dispensing Site | 30160 Orchard Lake Rd, Ste 100, Farmington Hills, MI 48334-2293 | 2006-09-20 |
| 1730124934 | Northpointe Pediatrics PC | Non-Pharmacy Dispensing Site | 30061 Schoenherr Rd, Ste A, Warren, MI 48088-3133 | 2006-06-19 |
| 1427603489 | Michigan Surgery Specialists, P.C. | Non-Pharmacy Dispensing Site | 50505 Schoenherr Rd Ste 250, Shelby Township, MI 48315-3141 | 2019-08-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.