# LANDIS VISION CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194966705
- **Authorized official:** TRACEY ALLEN LANDIS (OWNER/MANAGER)
- **Authorized official phone:** (810) 743-2830

## Contact information

- **Practice address:** 3600 S DORT HWY, FLINT, MI 48507-2093
- **Practice address phone:** (810) 743-2830
- **Practice address fax:** (810) 743-1729
- **Mailing address:** 3600 S DORT HWY, FLINT, MI 48507-2093
- **Mailing address phone:** (810) 743-2830
- **Mailing address fax:** (810) 743-1729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156F00000X | Technician/Technologist | — | — | Yes |

## Other

- **Enumeration date:** 03/11/2009
- **Last updated:** 03/03/2015