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General NPI Number Information
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NPI Number | 1720256845
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Entity Type | Organization
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Legal Business Name | SEALS TACIA & BARTZ OD PC
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 25720 COPPER KING WAY
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City | CALUMET
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State | MI
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Zip | 49913-2557
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Country | US
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Telephone | 906-337-5252
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Fax | 906-337-5254
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Provider Business Mailing Address
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Address Line | 25720 COPPER KING WAY
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City | CALUMET
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State | MI
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Zip | 49913-2557
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Country | US
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Telephone | 906-337-5252
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Fax | 906-337-5254
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Authorized Official
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Title or Position | AUTHORIZED MANAGER
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Name | CIERRA NIXON
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Credential |
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Telephone | 989-584-6868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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