Organization
JARTLL CORP
Active
Other names
OPTICAL WORLD
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER M KINGERY (INSURANCE SUPERVISOR)
(238) 871-1234
Entity
Organization
Contact information
Practice address
15336 GRAND RIVER AVE, DETROIT, MI 48227-2215
(313) 836-1666
(313) 836-1066
Mailing address
15336 GRAND RIVER AVE, DETROIT, MI 48227-2215
(313) 836-1666
(313) 836-1066
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124179346
—
MI
Enumeration date
01/15/2007
Last updated
02/07/2012
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