Thunder Bay Optometry PLLC

Optometrist in Alpena, MI. Organization (NPI-2).

NPI number1104516707

StatusActive

Last updated in NPPESMay 9, 2023

Details

NPI: 1104516707
Entity type: Organization (NPI-2)
Legal business name: Thunder Bay Optometry PLLC
Organization subpart: No
Enumeration date: May 9, 2023
Certification date: May 9, 2023
Last updated: May 9, 2023

Medicare and OIG

Medicare enrolled (PECOS): Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
152W00000X	Optometrist	–	–	Yes

Practice location

1011 W Washington Ave
Alpena, MI 49707-2929

Phone 989-356-3937 · Fax 989-356-3938

Mailing address

1011 W Washington Ave
Alpena, MI 49707-2929

Phone 989-356-3937 · Fax 989-356-3938

Authorized official

Anthony G Luongo
Owner/Optometrist
9893563937

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Alpena, MI

All 18 Optometrist providers in Alpena · All 945 providers in Alpena

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