Healthcare Provider Details
I. General information
NPI: 1134201601
Provider Name (Legal Business Name): NORWAY EYE CARE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/20/2006
Last Update Date: 03/17/2023
Certification Date: 03/17/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
525 W HIGHWAY US 2
NORWAY MI
49870
US
IV. Provider business mailing address
525 W HIGHWAY US 2
NORWAY MI
49870
US
V. Phone/Fax
- Phone: 906-563-5711
- Fax: 906-563-9196
- Phone: 906-563-5711
- Fax: 906-563-9196
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | MI |
VIII. Authorized Official
Name:
MICHELLE
A
CRAMPTON
Title or Position: BILLER
Credential:
Phone: 906-563-5711