Organization
SHARP IMAGE OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMAL GUPTA M.D. (OWNER)
(734) 479-5585
Entity
Organization
Contact information
Practice address
19335 ALLEN RD, BROWNSTOWN TWP, MI 48183-1003
(734) 479-5585
(734) 479-5586
Mailing address
19335 ALLEN RD, BROWNSTOWN TWP, MI 48183-1003
(734) 479-5585
(734) 479-5586
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/14/2008
Last updated
01/10/2013
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