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Organization

DOLAN OPTICAL COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL DOUGLAS DOLAN OPTICIAN (OFFICER)
(586) 776-3333
Entity
Organization

Contact information

Practice address
21527 HARPER AVE, SAINT CLAIR SHORES, MI 48080-2209
(586) 776-3333
(586) 776-1713
Mailing address
21527 HARPER AVE, SAINT CLAIR SHORES, MI 48080-2209
(586) 776-3333
(586) 776-1713

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MI
156FX1800X
Optician
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
233011
NVA
MI
01
233172
NVA
MI
05
5015220
MI
01
OP0212
EYEMED
MI
Enumeration date
08/31/2006
Last updated
09/11/2025
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