MEDICARE: THUMB AREA EYE ASSOCIATES, PLLC

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
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1861320889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THUMB AREA EYE ASSOCIATES, PLLC

Provider Business Mailing Address
First Line	:	333 W NEPESSING ST
Second Line	:
City	:	LAPEER
State	:	MI
Zip	:	48446-2105
Country	:	US
Telephone Number	:	810-664-3937
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 W NEPESSING ST
Second Line	:
City	:	LAPEER
State	:	MI
Zip	:	48446-2105
Country	:	US
Telephone Number	:	810-664-3937
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE
Name	:	JACKIE GIBBONS
Credential	:
Telephone Number	:	810-664-3937

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/19/2026

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