Organization
JARDON EYE PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE J MORRIS OCULARIST (PRESIDENT)
(248) 424-8560
Entity
Organization
Contact information
Practice address
15920 W 12 MILE RD, SOUTHFIELD, MI 48076-3047
(248) 424-8560
Mailing address
15920 W 12 MILE RD, SOUTHFIELD, MI 48076-3047
(248) 424-8560
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006595
CAPE HEALTH PLAN
MI
01
—
0F30983
BLUECARE NETWORK
MI
01
—
120109-0001
WELLNESS PLAN
MI
01
—
1267
NORTHWOODS
MI
05
—
2829576
—
MI
01
—
29933
COMMUNITY CHOICE
MI
01
—
49394
OMNICARE
MI
01
—
500490
MERCY HEALTH PLANS
MI
01
—
5131
PRIORITY HEALTH
MI
01
—
80276A
HAP
MI
01
—
82-09450
PHP LANSING
MI
01
—
82-29048
PHP-JACKSON
MI
01
—
8333001
AETNA
MI
01
—
9002104
HEALTH PLUS
MI
01
—
ANO369
SELECT CARE
MI
01
—
OP630172
M-CARE
MI
01
—
P500490
CARE CHOICES
MI
Enumeration date
08/13/2006
Last updated
08/22/2020
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