Individual
DR. JAIME BROOKE ZADOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D., FAAO
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004460
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4901004460
BOARD OF OPTOMETRY DIAGNOSTIC/THERAPEUTIC PHARMACEUTICAL AGENTS CERT.
MI
01
—
5330000926
BOARD OF PHARMACY CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
06/02/2008
Last updated
04/03/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us