Provider Demographics
NPI:1689904682
Name:ANNE M. PFEFFER O.D., PLLC
Entity Type:Organization
Organization Name:ANNE M. PFEFFER O.D., PLLC
Other - Org Name:NORTHWEST OPTOMETRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:EINIG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:616-887-2020
Mailing Address - Street 1:343 S. UNION ST
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:MI
Mailing Address - Zip Code:49345-1531
Mailing Address - Country:US
Mailing Address - Phone:616-887-2020
Mailing Address - Fax:616-887-3777
Practice Address - Street 1:343 S. UNION ST
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:MI
Practice Address - Zip Code:49345-1531
Practice Address - Country:US
Practice Address - Phone:616-887-2020
Practice Address - Fax:616-887-3777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-13
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901004322152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty