Organization
LYNN OPTICAL ASSOCIATES PC
Active
Other names
Lynn & Mall Optical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL M WAPNER (OPTOMETRIST)
(248) 332-2895
Entity
Organization
Contact information
Practice address
22 N TELEGRAPH RD, PONTIAC, MI 48341-1166
(248) 332-2895
(248) 332-2896
Mailing address
22 N TELEGRAPH RD, PONTIAC, MI 48341-1166
(248) 332-2895
(248) 332-2896
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002536
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900F36693
BCBS OF MI
MI
05
—
945105462
—
MI
Enumeration date
11/09/2005
Last updated
11/03/2008
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