Provider Demographics
NPI:1497156400
Name:EYE ASSOCIATES OF MARQUETTE INC
Entity Type:Organization
Organization Name:EYE ASSOCIATES OF MARQUETTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROONEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHD
Authorized Official - Phone:906-226-2531
Mailing Address - Street 1:1414 W FAIR AVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-5408
Mailing Address - Country:US
Mailing Address - Phone:906-226-2531
Mailing Address - Fax:906-226-7555
Practice Address - Street 1:1414 W FAIR AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-5408
Practice Address - Country:US
Practice Address - Phone:906-226-2531
Practice Address - Fax:906-226-7555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-09
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty