Provider Demographics
NPI:1760633671
Name:ASSOCIATES IN EYECARE PLC
Entity Type:Organization
Organization Name:ASSOCIATES IN EYECARE PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:C.
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:KOCKS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:989-823-8559
Mailing Address - Street 1:295 N MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:VASSAR
Mailing Address - State:MI
Mailing Address - Zip Code:48768
Mailing Address - Country:US
Mailing Address - Phone:989-823-8559
Mailing Address - Fax:
Practice Address - Street 1:295 N MAIN ST
Practice Address - Street 2:
Practice Address - City:VASSAR
Practice Address - State:MI
Practice Address - Zip Code:48768-1399
Practice Address - Country:US
Practice Address - Phone:989-823-8559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5416520002Medicare NSC