Provider Demographics
NPI:1194825836
Name:WASHINGTON EYE CARE PC
Entity type:Organization
Organization Name:WASHINGTON EYE CARE PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:HORN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:586-992-3700
Mailing Address - Street 1:8703 26 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48094-2967
Mailing Address - Country:US
Mailing Address - Phone:586-992-3700
Mailing Address - Fax:586-992-3706
Practice Address - Street 1:8703 26 MILE RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MI
Practice Address - Zip Code:48094-2967
Practice Address - Country:US
Practice Address - Phone:586-992-3700
Practice Address - Fax:586-992-3706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-23
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901004085152WC0802X
MI4901003653152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1396847539OtherNPI - MICHAEL WEISGERBER
MI1124041298OtherNPI - BARBARA HORN
MI1396847539OtherNPI - MICHAEL WEISGERBER
MIP30340001Medicare ID - Type UnspecifiedSEQUENCE #
MI1396847539OtherNPI - MICHAEL WEISGERBER
MIP30340002Medicare ID - Type UnspecifiedSEQUENCE#
MI1124041298Medicare NSC
MI1194825836Medicare NSC
MI900E066870Medicare UPIN
MI0P30340Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER