Organization
DUNN OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA LAREEN DUNN O.D. (OPTOMETRIST)
(810) 275-3379
Entity
Organization
Contact information
Practice address
2925 TOWNE CENTRE BLVD, LANSING, MI 48912-5650
(517) 482-0752
(517) 482-0941
Mailing address
515 E REID RD APT 6, GRAND BLANC, MI 48439-1238
(810) 275-3379
(517) 482-0941
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004501
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000020633
PHYSICIANS HEALTH PLAN
MI
01
—
900C317780
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/25/2009
Last updated
09/29/2009
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