Organization
FRACER OPTICAL CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A STEFANI OD (OWNER.OPTOMETRIST)
(586) 293-8888
Entity
Organization
Contact information
Practice address
32925 GROESBECK HWY, FRASER, MI 48026-3155
(586) 293-8888
(586) 293-8940
Mailing address
32925 GROESBECK HWY, FRASER, MI 48026-3155
(586) 293-8888
(586) 293-8940
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003690
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404749
—
MI
Enumeration date
11/03/2005
Last updated
08/22/2020
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