Organization
DOCTORS ALVARADO, P.C.
Active
Other names
Fenton Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN ALVARADO O.D. (OPTOMETRIST)
(810) 629-3070
Entity
Organization
Contact information
Practice address
1535 N LEROY ST, SUITE D, FENTON, MI 48430-2791
(810) 629-3070
Mailing address
1535 N LEROY ST, SUITE D, FENTON, MI 48430-2791
(810) 629-3070
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901002996
MI
152W00000X
Optometrist
Primary
4901003993
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366523086
NPI
MI
01
—
1689754350
NPI
MI
Enumeration date
05/14/2007
Last updated
08/22/2020
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