| |
9371 Telegraph Rd, Redford, MI 48239-1260 | |
(313) 240-7551 | |
(313) 240-8621 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 9371 Telegraph Rd, Redford, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902941982 | NPI | - | NPPES |
4487290 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (Michigan) | Secondary |
Mailing Address | Practice Location Address |
---|---|
118 Cass Ave, Mount Clemens, MI 48043-2204 Ph: (586) 468-7370 | 9371 Telegraph Rd, Redford, MI 48239-1260 Ph: (313) 240-7551 |
Dewberry Medical Co Optometrist Medicare: Not Enrolled in Medicare Practice Location: 25525 Elba, Redford, MI 48239 Phone: 734-644-1804 Fax: 734-661-6339 |