Organization
SVS VISION INC
Active
Other names
SVS VISION 54
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G FARRELL JR. OD (OWNER/CEO)
(586) 468-7370
Entity
Organization
Contact information
Practice address
2910 W MAPLE RD, TROY, MI 48084-7031
(248) 435-2189
(248) 435-2302
Mailing address
118 CASS AVE, MOUNT CLEMENS, MI 48043-2204
(586) 468-7370
(586) 468-7682
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4500481
—
MI
Enumeration date
07/06/2009
Last updated
02/14/2020
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