Organization
EL VALLE OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LETICIA MOTA (OWNER-OPTICIAN)
(313) 551-0707
Entity
Organization
Contact information
Practice address
1940 CAMPBELL, DETROIT, MI 48209
(313) 551-0707
(313) 551-0708
Mailing address
1940 CAMPBELL ST., DETROIT, MI 48209
(313) 551-0707
(313) 551-0708
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
07/08/2022
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