Organization
OPTOMETRY PC
Active
Other names
Family Eye Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD W LAKIN OD (PRESIDENT)
(586) 263-9708
Entity
Organization
Contact information
Practice address
21701 KELLY RD, EASTPOINTE, MI 48021
(586) 779-4200
(586) 779-6115
Mailing address
21701 KELLY RD, EASTPOINTE, MI 48021
(586) 779-4200
(586) 779-6115
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230460
NVA
MI
01
—
OE06315
HAP
MI
Enumeration date
12/01/2006
Last updated
12/11/2007
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