Optometry On The Mall

NPI 1215019948 - Optometrist - 152W00000X

NPI Details
NPI 1215019948
Enumeration Date 10/20/2006
Last Updated 10/11/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THOMAS THOMAS
Position PRESIDENT OWNER
Phone (248) 828-7658
Fax
Practice Location
6966 CROOKS RD
SUITE 26
TROY MI, 48098-1798, US
Phone (248) 828-7658
Fax
Business Location
6966 CROOKS RD
SUITE 26
TROY MI, 48098-1798, US
Phone (248) 828-7658
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Michigan
License Number 4901003047
Remove 1215019948 NPI Number
 

According to our database, Optometry On The Mall NPI is 1215019948, taxonomy code is 152W00000X and license number is 4901003047, license state is located at Michigan. Optometry On The Mall physically located at 6966 Crooks Rd, Troy MI, 48098-1798. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1215019948 NPI number is provided on an as is basis without warranty of any kind. 1215019948 is maintained by the National Plan & Provider Enumeration System. The contents of Optometry On The Mall are for informational purposes only.