Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TERESA MARIE ENNIS-DECKER, O.D.
Deactivated Sole ProprietorMRS. TERESA MARIE ENNIS-DECKER, O.D. is a Optometrist healthcare provider located in MILLINGTON, Michigan. NPI 1154322956 is deactivated in the NPPES registry. Verify at CMS.
Optometrist · MILLINGTON, MI
This NPI has been deactivated.
The record was deactivated on March 21, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1154322956
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 3, 2005 (0.63013698630137 yrs)
- Last Updated
- Jul 3, 2012
- Deactivated
- Mar 21, 2006
- License
-
4901003316 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9575 STATE RDMILLINGTON, MI, 487469482Browse MI providers · Browse ZIP 48746
- Phone
- 9898719552
- Fax
- 9898719554
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.