Organization
FOUNTAIN OPTOMETRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MICHAEL FOUNTAIN O.D. (PRESIDENT)
(734) 439-2020
Entity
Organization
Contact information
Practice address
7 E MAIN ST, MILAN, MI 48160-1248
(734) 439-2020
(734) 439-2047
Mailing address
7 E MAIN ST, MILAN, MI 48160-1248
(734) 439-2020
(734) 439-2047
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004264
MI
Other
Enumeration date
10/26/2006
Last updated
08/03/2023
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