Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETTA MARIE THANE, ABOC
Active Sole ProprietorETTA MARIE THANE, ABOC is a Optician, Dispensing healthcare provider located in CARO, Michigan. NPI 1952092801 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · CARO, MI
Registration Details
- NPI Number
- 1952092801
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 19, 2023 (3.2692400895723 yrs)
- Last Updated
- May 19, 2023
- License
-
157033 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1121 E CARO RDCARO, MI, 487231216Browse MI providers · Browse ZIP 48723
- Phone
- 9896722700
- Primary Specialty
-
Optician, Dispensing
156FX1800X
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.