Organization
ANDERSEN EYE PROSTHETICS LLC
Active
Parent organization
ANDERSEN EYE PROSTHETICS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANDERSEN EYE PROSTHETICS LLC
Authorized official
DR. GREGORY HAZEN MD (MEDICAL DIRECTOR)
(989) 797-2400
Entity
Organization
Contact information
Practice address
39000 7 MILE RD STE 2400, LIVONIA, MI 48152-1006
(989) 797-2400
(989) 245-1035
Mailing address
PO BOX 5649, SAGINAW, MI 48603-0649
(989) 341-7171
(989) 249-1054
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
02/22/2023
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