Organization
CARL F. CLAVENNA, M.D., P.C.
Active
Other names
Clavenna Vision Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL F CLAVENNA M.D. (PRESIDENT)
(248) 646-3733
Entity
Organization
Contact information
Practice address
600 S ADAMS RD, SUITE 200, BIRMINGHAM, MI 48009-6861
(248) 646-3733
(248) 642-2566
Mailing address
600 S ADAMS RD, SUITE 200, BIRMINGHAM, MI 48009-6861
(248) 646-3733
(248) 642-2566
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180F321870
BLUE CROSS GROUP
MI
01
—
G5031F
BLUE CARE NETWORK GROUP
MI
Enumeration date
09/21/2006
Last updated
11/17/2021
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