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General NPI Number Information
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NPI Number | 1912194754
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Entity Type | Organization
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Legal Business Name | VALLEY EYE CARE P.C.
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 12/21/2009
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Provider Practice Location Address
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Address Line | 900 CENTER AVE LOWER LEVEL
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City | BAY CITY
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State | MI
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Zip | 48708-6118
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Country | US
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Telephone | 989-892-6616
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Fax | 989-892-6651
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Provider Business Mailing Address
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Address Line | 900 CENTER AVE LOWER LEVEL
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City | BAY CITY
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State | MI
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Zip | 48708-6118
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Country | US
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Telephone | 989-892-6616
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Fax | 989-892-6651
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SCOTT M VANDENBELT
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Credential | M.D.
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Telephone | 989-892-6616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | SV077914
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License Number State | MI
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