Organization
FRUITPORT FAMILY EYE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH LYNN OSBORNE O.D. (SINGLE OWNER)
(231) 865-9990
Entity
Organization
Contact information
Practice address
388 N 3RD AVE, STE I, FRUITPORT, MI 49415-9785
(231) 865-9990
(231) 865-9991
Mailing address
388 N 3RD AVE, STE I, FRUITPORT, MI 49415-9785
(231) 865-9990
(231) 865-9991
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003947
MI
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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