Northwest Eye Foundation

NPI 1073754164 - Optometrist - 152W00000X

NPI Details
NPI 1073754164
Enumeration Date 03/19/2009
Last Updated 09/29/2014
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MARK S MARK
Position MANAGER
Phone (313) 966-2024
Fax (313) 966-7418
Practice Location
6071 W OUTER DR
M-106
DETROIT MI, 48235-2624, US
Phone (313) 966-2024
Fax (313) 966-7418
Business Location
1560 E. MAPLE RD.
SUITE 400-CREDENTIALING
TROY MI, 48083-1189, US
Phone (248) 581-5973
Fax (248) 581-5640
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Northwest Eye Foundation NPI is 1073754164, taxonomy code is 152W00000X Northwest Eye Foundation physically located at 6071 W Outer Dr, Detroit MI, 48235-2624. NPI Number 1033115704 has the healthcare provider type.

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1073754164 NPI number is provided on an as is basis without warranty of any kind. 1073754164 is maintained by the National Plan & Provider Enumeration System. The contents of Northwest Eye Foundation are for informational purposes only.