Organization
ADVANCED VISION CENTERS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED LICHOTA O.D. (OWNER)
(586) 752-4477
Entity
Organization
Contact information
Practice address
64641 VAN DYKE RD, WASHINGTON, MI 48095-2584
(586) 752-4477
(586) 752-3270
Mailing address
64641 VAN DYKE RD, WASHINGTON, MI 48095-2584
(586) 752-4477
(586) 752-3270
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002788
MI
Other
Enumeration date
05/05/2006
Last updated
06/17/2016
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