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Organization

P L INC.

Active
Other names
D.O.C Chesterfield Village Square
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID BRYAN TAYLOR (PRESIDENT)
(586) 598-3935
Entity
Organization

Contact information

Practice address
27903 23 MILE RD, CHESTERFIELD, MI 48051-2328
(586) 598-3935
(586) 598-3941
Mailing address
27903 23 MILE RD, CHESTERFIELD, MI 48051-2328
(586) 598-3935
(586) 598-3941

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901003352
MI
152W00000X
Optometrist
4901003653
MI
156FX1800X
Optician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02262
SPECTERA
01
11985
AVESIS
01
230850
NATIONAL VISION ADMINISTR
Enumeration date
04/09/2006
Last updated
09/11/2025
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