Comprehensive Vision Center P.c.

NPI 1104188515 - Ophthalmology - 207W00000X

NPI Details
NPI 1104188515
Enumeration Date 06/12/2012
Last Updated 01/17/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CHRISTOPHER CHRISTOPHER
Position PRESIDENT
Phone (248) 782-8120
Fax (248) 278-6096
Practice Location
321 PETTIBONE ST
SUITE 103
SOUTH LYON MI, 48178-6000, US
Phone (248) 782-8120
Fax (248) 278-6096
Business Location
PO BOX 3820
ANN ARBOR MI, 48106-3820, US
Phone (248) 826-4929
Fax (248) 278-6096
Toxanomy
Taxonomy Code 207W00000X
License State Michigan
License Number 4301080629
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According to our database, Comprehensive Vision Center P.c. NPI is 1104188515, taxonomy code is 207W00000X and license number is 4301080629, license state is located at Michigan. Comprehensive Vision Center P.c. physically located at 321 Pettibone St, South Lyon MI, 48178-6000. NPI Number 1033115704 has the healthcare provider type.

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1104188515 NPI number is provided on an as is basis without warranty of any kind. 1104188515 is maintained by the National Plan & Provider Enumeration System. The contents of Comprehensive Vision Center P.c. are for informational purposes only.