Individual
DR. MARK ROY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
32090 23 MILE RD, CHESTERFIELD, MI 48047-1901
(586) 725-5600
(586) 725-6670
Mailing address
1698 FORESTHILL DR, ROCHESTER HILLS, MI 48306-3119
(248) 656-2592
(586) 725-6670
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003127
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2879003
—
MI
Enumeration date
05/08/2006
Last updated
07/08/2007
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