Organization
OPTICAL MANAGEMENT SERVICES, LLC
Active
Other names
Primary Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE MARIE HERRINGTON (BILLING MANAGER)
(989) 798-6020
Entity
Organization
Contact information
Practice address
2185 18 MILE RD, STERLING HEIGHTS, MI 48314
(248) 879-2388
(248) 879-3378
Mailing address
2185 18 MILE ROAD, STERLING HEIGHTS, MI 48314
(248) 879-2388
(248) 879-3378
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002762
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0949480001
PTAN
MI
05
—
1417137936
—
MI
Enumeration date
11/13/2007
Last updated
04/15/2024
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