Katie Lee Simon is a Portage, Michigan based female Optometrist who is specialized in Optometry. Active license number of Katie Lee Simon is 4901004118 for Optometry in Michigan. Katie Lee Simon examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. She completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. She is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Katie Lee Simon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Gender:
Female
Practice Address:
6483 S Westnedge Ave, Portage, Michigan, 49002-3542
Phone:
269-324-4242
Fax:
269-324-6145
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1366429581
NPI Enumeration Date:
29 Dec, 2005
NPI Last Update On:
03 Mar, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Katie Lee Simon are as mentioned below.
License Number
Specialization
State
Status
4901004118
Optometry
Michigan
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Katie Lee Simon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
4551220
Medicaid
Michigan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6483 S Westnedge Ave, Portage, Michigan
Zip:
49002-3542
Phone Number:
269-324-4242
Fax Number:
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Patients can reach Katie Lee Simon at 6483 S Westnedge Ave, Portage, Michigan or can call to book an appointment on 269-324-4242. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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Dr. Steven S. Ellinger, O.D. Speciality: Corneal and Contact Management Optometrist Address: 1612 E. Centre Ave., MI Phone: 269-329-1030 Fax: 269-329-0966