Organization
FRYE'S NEW LOOK OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICE COATES CMCB (BILLER)
(248) 219-9782
Entity
Organization
Contact information
Practice address
12897 WOODWARD AVE, HIGHLAND PARK, MI 48203-3315
(248) 499-4516
Mailing address
12897 WOODWARD AVE, HIGHLAND PARK, MI 48203-3315
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427585801
—
MI
Enumeration date
06/28/2017
Last updated
06/28/2017
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