Dr Teresa Ennis-Decker & Associates
Optometrist in Flint, MI. Organization (NPI-2).
NPI number1790737161
StatusActive
Last updated in NPPESJan 17, 2013
Details
- NPI
- 1790737161
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Teresa Ennis-Decker & Associates
- Organization subpart
- No
- Enumeration date
- May 16, 2006
- Last updated
- Jan 17, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- 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 | 4901003316 | MI | Yes |
Practice location
4313 Corunna RdFlint, MI 48532-4152
Phone 810-733-5544
Mailing address
7925 Sheridan RdMillington, MI 48746-9619
Phone 989-871-3559
Authorized official
Teresa Ennis-Decker
Owner
9898713559
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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.
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