Organization
GARY S. OPPENHEIM, O.D., P.C.
Active
Other names
EYE SPY EYE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
GARY STEVEN OPPENHEIM O.D. (PRESIDENT)
(248) 474-5125
Entity
Organization
Contact information
Practice address
33308 GRAND RIVER AVE, FARMINGTON, MI 48336-3124
(248) 474-5125
(248) 474-5484
Mailing address
33308 GRAND RIVER AVE, FARMINGTON, MI 48336-3124
(248) 474-5125
(248) 474-5484
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002613
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F34230
BCBSM
MI
05
—
3178370
—
MI
01
—
900F366860
BCBSM
MI
Enumeration date
09/25/2007
Last updated
05/14/2010
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