Organization
EYES RIGHT OPTICALII, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ARTHUE LAVINE OD (OPTOMITIST)
(248) 968-4223
Entity
Organization
Contact information
Practice address
26102 GREENFIELD RD, OAK PARK, MI 48237-1050
(248) 968-4224
(248) 968-5127
Mailing address
26102 GREENFIELD RD, OAK PARK, MI 48237-1050
(248) 968-4224
(248) 968-5127
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002664
MI
Other
Enumeration date
10/15/2005
Last updated
08/22/2020
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