Organization
CLARKSTON VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER LYNN PASFIELD (OWNER)
(248) 620-2033
Entity
Organization
Contact information
Practice address
7196 N MAIN ST, CLARKSTON, MI 48346-1571
(248) 620-2033
(248) 620-3809
Mailing address
8110 SLEEPY TIME CT, CLARKSTON, MI 48348-2652
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
02/25/2011
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