# ST CLAIR SHORES MI OPHTHALMOLOGY ASC LLC

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

## Provider details

- **NPI number:** 1326215468
- **Authorized official:** MR. JEFFREY SNODGRASS (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 21711 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-2418
- **Practice address phone:** (586) 774-0393
- **Practice address fax:** (586) 777-2214
- **Mailing address:** 21711 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-2418
- **Mailing address phone:** (586) 774-0393
- **Mailing address fax:** (586) 777-2214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 506812 | MI | Yes |

## Other

- **Enumeration date:** 05/08/2008
- **Last updated:** 09/21/2022