| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ERIN MACKENZIE KLUKAS | 1821671447 | 2022-10-05 |
Erin Mackenzie Klukas is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1821671447. Registration indicates Erin Mackenzie Klukas is a provider of access to ophthalmic care services with a specialization in Eye & Vision Services Providers, Optometrist (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers)
| Entity Type | Individual |
| Provider Name | Erin Mackenzie Klukas |
| Practice Office Address | 1000 WALL ST ANN ARBOR, MI US |
| Practice Office Telephone | 7647648052 |
| Mailing Address | 3621 S STATE ST ANN ARBOR, MI 481081633 US |
| Business Telephone | 7346475299 |
| Code | Practice | License No State |
|---|---|---|
| 152W00000X PRIMARY | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers | 4901005646
MI |