Provider Demographics
NPI:1699759126
Name:NORFLEET, JANEL C (OD)
Entity type:Individual
Prefix:DR
First Name:JANEL
Middle Name:C
Last Name:NORFLEET
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3941 TRAXLER CT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-9600
Mailing Address - Country:US
Mailing Address - Phone:989-684-7121
Mailing Address - Fax:989-684-7677
Practice Address - Street 1:3941 TRAXLER CT
Practice Address - Street 2:SUITE 100
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-9600
Practice Address - Country:US
Practice Address - Phone:989-684-7121
Practice Address - Fax:989-684-7677
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901003865152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI9002910440OtherBCBS
MI944359737Medicaid
MIN39750002Medicare ID - Type Unspecified
U87871Medicare UPIN