| |
38487 W 10 Mile Rd, Farmington Hills, MI 48335-2809 | |
(248) 477-9300 | |
(248) 307-9518 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 38487 W 10 Mile Rd, Farmington Hills, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619143047 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Michigan) | Secondary |
332H00000X | Eyewear Supplier | (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
735 John R Rd Ste 150, Troy, MI 48083-5859 Ph: (248) 588-9300 | 38487 W 10 Mile Rd, Farmington Hills, MI 48335-2809 Ph: (248) 477-9300 |