Provider Demographics
NPI:1922596063
Name:THUMB FAMILY VISION PLLC.
Entity Type:Organization
Organization Name:THUMB FAMILY VISION PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:O.D.
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUNSBURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-912-0466
Mailing Address - Street 1:3275 WEBSTER RD
Mailing Address - Street 2:
Mailing Address - City:OWENDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48754
Mailing Address - Country:US
Mailing Address - Phone:989-912-0466
Mailing Address - Fax:
Practice Address - Street 1:6867 CASS CITY RD STE 2
Practice Address - Street 2:
Practice Address - City:CASS CITY
Practice Address - State:MI
Practice Address - Zip Code:48726-9676
Practice Address - Country:US
Practice Address - Phone:989-912-3131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-24
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901004694152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty