Organization
BALIAN EYE CENTER, LLC
Active
Organization
BALIAN EYE CENTER, LLC
Active
Other names
Balian Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER TEKIELE OD (CEO)
(810) 853-0409
Entity
Organization
Contact information
Practice address
432 W. UNIVERSITY DR., ROCHESTER, MI 48307
(248) 651-6122
(248) 651-4825
Mailing address
432 W. UNIVERSITY DR., ROCHESTER, MI 48307
(248) 651-6122
(248) 651-4825
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490000121
MC RAILROAD ASC
—
Enumeration date
06/28/2006
Last updated
07/06/2021
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