Organization
WYANDOTTE OPTICAL,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN A STEIN O.D. (OPTOMETRIST)
(734) 282-5030
Entity
Organization
Contact information
Practice address
3101 BIDDLE ST, WYANDOTTE, MI 48192-5915
(734) 282-5030
Mailing address
3101 BIDDLE ST, WYANDOTTE, MI 48192-5915
(734) 282-5030
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
4901002491
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900H266940
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
12/10/2007
Last updated
05/01/2008
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