Organization
DONOVAN CONTACT LENS CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRENCE N. DONOVAN BCO (OCULARIST)
(734) 425-3430
Entity
Organization
Contact information
Practice address
33612 SCHOOLCRAFT RD, LIVONIA, MI 48150-1540
(734) 425-3430
(734) 425-8090
Mailing address
33612 SCHOOLCRAFT RD, LIVONIA, MI 48150-1540
(734) 425-3430
(734) 425-8090
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5001000008
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5090486
—
MI
01
—
71020000Q20959
BLUECROSS
MI
Enumeration date
11/05/2007
Last updated
12/05/2007
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