Organization
P-COR, LLC
Active
Other names
Henry Ford Optimeyes
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL ELIAS (VICE PRESIDENT)
(248) 577-3624
Entity
Organization
Contact information
Practice address
22500 HAGGERTY RD, FARMINGTON HILLS, MI 48335-2809
(248) 477-9300
(248) 477-5808
Mailing address
735 JOHN R RD STE 150, TROY, MI 48083-5859
(248) 588-9300
(248) 588-3355
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002296
MI
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376794214
—
MI
Enumeration date
10/09/2008
Last updated
12/10/2021
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