Organization
WCE, LLC
Active
Other names
CoOp Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT EVANGELISTA (OWNER)
(313) 366-5100
Entity
Organization
Contact information
Practice address
660 WOODWARD, SUITE 1525, DETROIT, MI 48226
(313) 366-5100
(313) 366-2246
Mailing address
660 WOODWARD, SUITE 1525, DETROIT, MI 48226
(313) 366-5100
(313) 366-2246
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376613653
NPI BILLING NUMBER
MI
Enumeration date
11/08/2006
Last updated
02/16/2017
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