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NPI Code Detail

MEDICARE: DR. JOHN C. CRESS O.D.

MEDICARE:  DR. JOHN C. CRESS  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist4901002494MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1900F210170OTHERMIBCBS OF MICHIGAN
2383628290OTHERMITAX ID

General Provider Information

NPI Number : 1497745889
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN C. CRESS O.D.
Provider Business Mailing Address
First Line : 105 W EXCHANGE ST
Second Line :
City : SPRING LAKE
State : MI
Zip : 49456-2024
Country : US
Telephone Number : 616-846-0620
Fax Number :
Provider Business Practice Location Address
First Line : 2984 HENRY ST
Second Line :
City : NORTON SHORES
State : MI
Zip : 49441-4014
Country : US
Telephone Number : 231-737-7700
Fax Number : 231-737-7701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 03/07/2023

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Directions to “ DR. JOHN C. CRESS O.D.” Practice Location

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