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Organization

HOMEBOUND EYE CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY MULLINS OD (PRESIDENT)
(734) 323-5253
Entity
Organization

Contact information

Practice address
11745 FOREST DR, PINCKNEY, MI 48169-9538
(734) 323-5253
Mailing address
11745 FOREST DR, PINCKNEY, MI 48169-9538
(734) 323-5253

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004022
MI
152WL0500X
Low Vision Rehabilitation Optometrist
4901004022
MI
152WP0200X
Pediatric Optometrist
4901004022
MI
152WV0400X
Vision Therapy Optometrist
4901004022
MI
332H00000X
Eyewear Supplier

Other

Enumeration date
07/28/2013
Last updated
05/09/2014
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