Organization
OPTICAL GALLERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL DEBEUL (OWNER/OPTICIAN)
(586) 792-7320
Entity
Organization
Contact information
Practice address
39400 GARFIELD RD, SUITE 102, CLINTON TOWNSHIP, MI 48038-4096
(586) 792-7320
(586) 792-7515
Mailing address
39400 GARFIELD RD, SUITE 102, CLINTON TOWNSHIP, MI 48038-4096
(586) 792-7320
(586) 792-7515
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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