Individual
JEFFREY RICHARD VARANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
29245 RYAN ROAD, #100 SIMONE EYE CENTER, WARREN, MI 48092
(586) 558-2981
(586) 558-8838
Mailing address
29245 RYAN ROAD, #100 SIMONE EYE CENTER, WARREN, MI 48092-1421
(586) 558-2981
(586) 558-8838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003935
MI
207W00000X
Ophthalmology Physician
16
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900N834800
BCBSM
MI
Enumeration date
05/28/2006
Last updated
06/16/2016
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