Professional Eyecare Group, Pllc

NPI 1255779211 - Optometrist - 152W00000X

NPI Details
NPI 1255779211
Enumeration Date 06/11/2013
Last Updated 12/05/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name VIMAL SURESHCHANDRA VIMAL
Position OPTOMETRIST
Phone (313) 292-7114
Fax
Practice Location
7555 TELEGRAPH RD
TAYLOR MI, 48180-2239, US
Phone (313) 292-7114
Fax
Business Location
5746 WILLOW CREEK DR
CANTON MI, 48187-3323, US
Phone (734) 674-4736
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Michigan
License Number 4901004767
Remove 1255779211 NPI Number
 

According to our database, Professional Eyecare Group, Pllc NPI is 1255779211, taxonomy code is 152W00000X and license number is 4901004767, license state is located at Michigan. Professional Eyecare Group, Pllc physically located at 7555 Telegraph Rd, Taylor MI, 48180-2239. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1255779211 NPI number is provided on an as is basis without warranty of any kind. 1255779211 is maintained by the National Plan & Provider Enumeration System. The contents of Professional Eyecare Group, Pllc are for informational purposes only.