Organization
CHEAPER PEEPERS OF NEW YORK MDIV, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA MANSUY (MANAGED CARE MANAGER)
(248) 719-7554
Entity
Organization
Contact information
Practice address
5150 COOLIDGE HWY, ROYAL OAK, MI 48073-1001
(248) 435-4200
(248) 288-2124
Mailing address
203 NEWBRIDGE RD, HITCKSVILLE, NY 11801-3933
(248) 719-7554
(248) 719-7564
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332G00000X
Eye Bank
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900F395210
BCBSM
—
Enumeration date
02/07/2011
Last updated
04/18/2011
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