NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1104081819 |   |   |   | BLUE WATER EYE CARE ASSOCIATES PC | 2609 ELECTRIC AVE | PORT HURON | MI | 480606589 |
1609118637 | JOHNSON | ALEXIS |   |   | 2609 ELECTRIC AVE | PORT HURON | MI | 480606589 |
1184721599 | JOHNSON | KEVIN | D |   | 2609 ELECTRIC AVE | PORT HURON | MI | 480606589 |