Organization
CHILDREN'S EYE CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SOKOL (BILLING SUPERVISOR)
(248) 254-8140
Entity
Organization
Contact information
Practice address
42700 GARFIELD, SUITE 200, CLINTON TOWNSHIP, MI 48038-4201
(586) 532-3380
(586) 416-1608
Mailing address
6689 ORCHARD LAKE ROAD, #297, WEST BLOOMFIELD, MI 48322
(248) 254-8140
(248) 254-8150
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180E012390
BS
—
Enumeration date
06/12/2008
Last updated
04/20/2020
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