Provider Demographics
NPI:1124289384
Name:STEVEN A VOCI OD PC
Entity type:Organization
Organization Name:STEVEN A VOCI OD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:VOCI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:231-547-2901
Mailing Address - Street 1:103 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:CHARLEVOIX
Mailing Address - State:MI
Mailing Address - Zip Code:49720-1301
Mailing Address - Country:US
Mailing Address - Phone:231-547-2901
Mailing Address - Fax:
Practice Address - Street 1:103 CLINTON ST
Practice Address - Street 2:
Practice Address - City:CHARLEVOIX
Practice Address - State:MI
Practice Address - Zip Code:49720-1301
Practice Address - Country:US
Practice Address - Phone:231-547-2901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901003674152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
90 0A565030OtherBCBSM PIN
MI4153133Medicaid
MI944153133Medicaid
410042915OtherRAILROAD MEDICARE
MI944153133Medicaid
410042915OtherRAILROAD MEDICARE
U78177Medicare UPIN