Organization
DELTAVISION OPTICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRVING IRA FOON O.D. (PRESIDENT)
(810) 732-8610
Entity
Organization
Contact information
Practice address
G3541 MILLER RD, FLINT, MI 48507-1235
(810) 732-8610
(810) 732-6813
Mailing address
G3541 MILLER RD, FLINT, MI 48507-1235
(810) 732-8610
(810) 732-6813
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1004305
MCLAREN MEDICAID
MI
01
—
230370
NVA
MI
01
—
27671
SPECTERA
MI
01
—
31986
COLE
MI
01
—
7333067
AETNA
MI
Enumeration date
10/14/2005
Last updated
08/22/2020
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