Provider Demographics
NPI:1619960150
Name:MEDICAL ENTERPRISES, INC.
Entity Type:Organization
Organization Name:MEDICAL ENTERPRISES, INC.
Other - Org Name:SCHEURER FAMILY VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.F.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:LUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-453-7301
Mailing Address - Street 1:7484 W. MICHIGAN AVE.
Mailing Address - Street 2:
Mailing Address - City:PIGEON
Mailing Address - State:MI
Mailing Address - Zip Code:48755-0319
Mailing Address - Country:US
Mailing Address - Phone:989-453-2025
Mailing Address - Fax:989-453-2166
Practice Address - Street 1:7484 W MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:PIGEON
Practice Address - State:MI
Practice Address - Zip Code:48755-5200
Practice Address - Country:US
Practice Address - Phone:989-453-2025
Practice Address - Fax:989-453-2166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-30
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901002529152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI943483401Medicaid
MI0C26506OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
MI0M75360Medicare PIN
MIU23862Medicare UPIN
MI0530800002Medicare NSC