Healthcare Provider Details

I. General information

NPI: 1417179862
Provider Name (Legal Business Name): ABP EYESITE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 05/24/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1234 E BROOMFIELD ST STE 6
MOUNT PLEASANT MI
48858-4490
US

IV. Provider business mailing address

1234 E BROOMFIELD ST STE 6
MOUNT PLEASANT MI
48858-4490
US

V. Phone/Fax

Practice location:
  • Phone: 989-773-2020
  • Fax: 989-772-7757
Mailing address:
  • Phone: 989-773-2020
  • Fax: 989-772-7757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WX0102X
TaxonomyOccupational Vision Optometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateMI

VIII. Authorized Official

Name: DR. ERIN RENE MILLER
Title or Position: OWNER/OPTOMETRIST
Credential: OD
Phone: 989-773-2020