Organization
KELLY FISHER OPTOMETRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY JEAN FISHER OD (OWNER/PRESIDENT)
(906) 635-3430
Entity
Organization
Contact information
Practice address
3763 I 75 BUSINESS SPUR, SAULT SAINTE MARIE, MI 49783-3613
(906) 635-3430
Mailing address
1299 SILERY RD, INDIAN RIVER, MI 49749-9513
(989) 513-1968
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004442
MI
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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