Organization
LIVINGSTON EYECARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD R GALLATIN O.D. (MEMBER, LLC / OPTOMETRIST)
(810) 231-5800
Entity
Organization
Contact information
Practice address
7486 EAST M-36, HAMBURG, MI 48139
(810) 231-5800
(810) 231-6422
Mailing address
PO BOX 767, HAMBURG, MI 48139-0767
(810) 231-5800
(810) 231-6422
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
4901003817
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4901003817
OPTOMETRY LICENSE
MI
Enumeration date
08/20/2006
Last updated
06/09/2008
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