Organization
PROFESSIONAL EYECARE GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIMAL SURESHCHANDRA PATEL O.D. (OPTOMETRIST)
(734) 674-4736
Entity
Organization
Contact information
Practice address
7555 TELEGRAPH RD, TAYLOR, MI 48180-2239
(313) 292-7114
Mailing address
5746 WILLOW CREEK DR, CANTON, MI 48187-3323
(734) 674-4736
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004767
MI
Other
Enumeration date
06/11/2013
Last updated
12/05/2013
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