# CATARACT SPECIALTY SURGICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cataract specialty surgical center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528061918
- **Authorized official:** DEBORAH JANKOWSKI BSN, RN (ADMINISTATOR)
- **Authorized official phone:** (248) 586-4602

## Contact information

- **Practice address:** 28747 WOODWARD AVE LOWR LEVEL, BERKLEY, MI 48072-0931
- **Practice address phone:** (248) 584-4602
- **Practice address fax:** (248) 584-4630
- **Mailing address:** 28747 WOODWARD AVE, LOWER LEVEL, BERKLEY, MI 48072-0914
- **Mailing address phone:** (248) 584-4602
- **Mailing address fax:** (248) 584-4630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 636901 | MI | Yes |

## Other

- **Enumeration date:** 05/31/2005
- **Last updated:** 05/16/2022