Organization
VILLAGE OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LOWE O.D. (DOCTOR OWNER)
(313) 885-5400
Entity
Organization
Contact information
Practice address
16841 KERCHEVAL PL, GROSSE POINTE PARK, MI 48230-1553
(313) 885-5400
Mailing address
19992 COUNTRY CLUB DR, HARPER WOODS, MI 48225-1622
(313) 885-1733
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
L907492
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900H241570
BCBSM
MI
Enumeration date
03/02/2007
Last updated
05/15/2009
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