Provider Demographics
NPI:1477396901
Name:MARINEAU EYE CARE, PLC
Entity type:Organization
Organization Name:MARINEAU EYE CARE, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MARINEAU
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:269-857-2020
Mailing Address - Street 1:PO BOX 998
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:MI
Mailing Address - Zip Code:49406-0998
Mailing Address - Country:US
Mailing Address - Phone:269-857-2020
Mailing Address - Fax:269-857-4099
Practice Address - Street 1:114 BLUE STAR HWY
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:MI
Practice Address - Zip Code:49406-5139
Practice Address - Country:US
Practice Address - Phone:269-857-2020
Practice Address - Fax:269-857-4099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-13
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty