Provider Demographics
NPI:1548750060
Name:SUPERIOR FAMILY VISION P.C.
Entity Type:Organization
Organization Name:SUPERIOR FAMILY VISION P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:SCHOONE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:906-869-1356
Mailing Address - Street 1:240 ROOSEVELT ST
Mailing Address - Street 2:
Mailing Address - City:IRONWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49938-1737
Mailing Address - Country:US
Mailing Address - Phone:906-932-3005
Mailing Address - Fax:906-932-3188
Practice Address - Street 1:240 ROOSEVELT ST
Practice Address - Street 2:
Practice Address - City:IRONWOOD
Practice Address - State:MI
Practice Address - Zip Code:49938-1737
Practice Address - Country:US
Practice Address - Phone:906-932-3005
Practice Address - Fax:906-932-3188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-10
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901004604152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty