| Black And White Look Optical Corporation | |
|
15675 W Ten Mile Rd, Southfield, MI 48075-2188 | |
| (248) 557-6444 | |
| (248) 557-6501 |
| Full Name | Black And White Look Optical Corporation |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 15675 W Ten Mile Rd, Southfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679660849 | NPI | - | NPPES |
| 3282118 | Medicaid | MI | |
| 900F378590 | Other | MI | BLUE CROSS PIN# |
| 230892 | Other | MA | NVA PIN# |
| 024599 | Other | MI | MIDWEST HEALTH PIN |
| 113750 | Other | MI | TOTAL HEALTH PIN# |
| 6719 | Other | MI | CO/OP PIN |
| 0F37859 | Other | MI | BLUE CROSS FEDERAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Michigan) | Primary |
| Provider Name | Lisa M Barry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174670509 PECOS PAC ID: 4183512668 Enrollment ID: I20040306000235 |
| Provider Name | Lanny Green |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972557858 PECOS PAC ID: 3072588193 Enrollment ID: I20060110000662 |
| Provider Name | Manijeh Shafiemir |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225020043 PECOS PAC ID: 8527377100 Enrollment ID: I20151021002836 |
| Provider Name | Alpa M Desai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013267830 PECOS PAC ID: 2466725593 Enrollment ID: I20170912000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Black And White Look Optical Corporation 15675 W Ten Mile Rd, Southfield, MI 48075-2188 Ph: (248) 557-6444 | Black And White Look Optical Corporation 15675 W Ten Mile Rd, Southfield, MI 48075-2188 Ph: (248) 557-6444 |
Dr. Frances Meram Ceritano, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 30800 Southfield Rd, Southfield, MI 48076 Phone: 248-647-9790 Fax: 248-901-1831 | |
Dr. Edward Fred Stein, OD Optometrist Medicare: Medicare Enrolled Practice Location: 21500 Northwestern Hwy, Suite #635, Southfield, MI 48075 Phone: 248-569-2025 Fax: 248-569-5103 | |
Dr. William Jerry Lindahl, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 26771 W 12 Mile Rd, Suite 100, Southfield, MI 48034 Phone: 248-263-4900 Fax: 248-263-4903 | |
P-cor, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 29350 Southfield Rd Ste 150, Southfield, MI 48076 Phone: 248-647-9790 | |
Henry Ford Optimeyes Optometrist Medicare: Medicare Enrolled Practice Location: 29350 Southfield Rd, Southfield, MI 48076 Phone: 248-647-9790 Fax: 248-901-1831 | |
Esther Moon, Optometrist Medicare: Medicare Enrolled Practice Location: 24571 W 12 Mile Rd, Southfield, MI 48034 Phone: 773-541-0227 | |
Agape Vision Associates P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 24300 Southfield Rd Ste 216, Southfield, MI 48075 Phone: 248-327-6249 |