MEDICARE: JARTLL CORP

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	:	1417008624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JARTLL CORP

Provider Business Mailing Address
First Line	:	6523 TELEGRAPH RD
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-3066
Country	:	US
Telephone Number	:	248-593-9955
Fax Number	:	248-593-9966

Provider Business Practice Location Address
First Line	:	6523 TELEGRAPH RD
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-3066
Country	:	US
Telephone Number	:	248-593-9955
Fax Number	:	248-593-9966

Authorized Official
Title or Position	:	INSURANCE SUPERVISOR
Name	:	HEATHER M KINGERY
Credential	:
Telephone Number	:	248-871-1234

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	02/07/2012

Similar Medicare Providers

1275511867 — DR. MICHAEL S WEISHAUS O.D.
Practice Location Address:

6523 TELEGRAPH RD
BLOOMFIELD HILLS, MI
48301-3066

Practice Phone: 248-593-9955
Practice Fax: 248-593-9966

1972581551 — DR. MAX D GOTTESMAN O.D.
Practice Location Address:

6523 TELEGRAPH RD
BLOOMFIELD HILLS, MI
48301-3066

Practice Phone: 248-593-9955
Practice Fax: 248-593-9966

1457600207 — JANIECE LYNN MATTICE-BOBER O.D.
Practice Location Address:

6523 TELEGRAPH RD
BLOOMFIELD HILLS, MI
48301-3066

Practice Phone: 231-282-3044
Practice Fax:

1417637471 — WELLSTREET URGENT CARE OF MICHIGAN
Practice Location Address:

6543 TELEGRAPH RD
BLOOMFIELD HILLS, MI
48301-3066

Practice Phone: 248-940-4937
Practice Fax:

1124141858 — GINO CHIAPPETTA M.D.
Practice Location Address:

1455 BROAD ST STE 250
BLOOMFIELD, NJ
07003-3066

Practice Phone: 877-532-7837
Practice Fax:

1851658397 — FERDINAND IANNACCONE D.O.
Practice Location Address:

1455 BROAD ST STE 250
BLOOMFIELD, NJ
07003-3066

Practice Phone: 877-532-7837
Practice Fax:

Directions to “JARTLL CORP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.