Organization
SOPHA OPTICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY SOPHA A.B.O.C. (OWNER/OPTICIAN)
(586) 336-4566
Entity
Organization
Contact information
Practice address
64207 VAN DYKE RD, WASHINGTON, MI 48095-2579
(586) 336-4566
(586) 336-4702
Mailing address
64207 VAN DYKE RD, WASHINGTON, MI 48095-2579
(586) 336-4566
(586) 336-4702
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
166899
MI
Other
Enumeration date
01/12/2009
Last updated
04/21/2009
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