# CUSTOM VISION SERVICES LLC

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

## Provider details

- **NPI number:** 1568197820
- **Authorized official:** JOSHUA VRABEC MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (248) 710-2325

## Contact information

- **Practice address:** 1135 W UNIVERSITY DR STE 155, ROCHESTER, MI 48307-1871
- **Practice address phone:** (248) 710-2325
- **Practice address fax:** (248) 266-8293
- **Mailing address:** 1135 W UNIVERSITY DR STE 155, ROCHESTER, MI 48307-1871
- **Mailing address phone:** (248) 710-2325
- **Mailing address fax:** (248) 266-8293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/20/2022
- **Last updated:** 08/22/2023
