Organization
K & K OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM KLOSOWSKI (PRESIDENT)
(248) 777-2830
Entity
Organization
Contact information
Practice address
28209 7 MILE RD, LIVONIA, MI 48152-3750
(248) 777-2830
(248) 777-9376
Mailing address
28209 7 MILE RD, LIVONIA, MI 48152-3750
(248) 777-2830
(248) 777-9376
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MM002314
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MM002314
OPTEMETRIC LISCENSE
MI
Enumeration date
10/25/2006
Last updated
08/22/2020
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