Organization
SPARTAN EYECARE, P.L.L.C.
Active
Other names
Spartan Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY STOLICKER O.D. (OWNER)
(517) 899-1658
Entity
Organization
Contact information
Practice address
4573 WILLOUGHBY RD STE D, HOLT, MI 48842-2188
(517) 111-1111
Mailing address
4573 WILLOUGHBY RD STE D, HOLT, MI 48842-2188
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004432
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811195357
—
MI
Enumeration date
07/05/2017
Last updated
07/05/2017
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