Provider Demographics
NPI:1477503951
Name:PARIAL EYE PHYSICIANS PLC
Entity Type:Organization
Organization Name:PARIAL EYE PHYSICIANS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SINGLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARSENIO
Authorized Official - Middle Name:T
Authorized Official - Last Name:PARIAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:269-651-7808
Mailing Address - Street 1:600 S LAKEVIEW AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:STURGIS
Mailing Address - State:MI
Mailing Address - Zip Code:49091-2371
Mailing Address - Country:US
Mailing Address - Phone:269-651-7808
Mailing Address - Fax:
Practice Address - Street 1:600 S LAKEVIEW AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:STURGIS
Practice Address - State:MI
Practice Address - Zip Code:49091-2371
Practice Address - Country:US
Practice Address - Phone:269-651-7808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4380202Medicaid
IN200369410BMedicaid
IN200369410AMedicaid
MI4324007Medicaid
MI0N29250Medicare ID - Type Unspecified
MI4324007Medicaid
X59664Medicare UPIN