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Organization

OPTOMETRISTS OF LANSING PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD CARRIGAN D.O. (PRESIDENT)
(517) 485-2213
Entity
Organization

Contact information

Practice address
2117 E GRAND RIVER AVE, LANSING, MI 48912-3231
(517) 485-2213
(517) 485-2220
Mailing address
2117 E GRAND RIVER AVE, LANSING, MI 48912-3231
(517) 485-2213
(517) 485-2220

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
KM002606
MI
152W00000X
Optometrist
Primary
RC002397
MI
152W00000X
Optometrist
SE003722
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1336130012
DR MARTON NPI
MI
01
1548242480
NPI NUMBER
MI
01
1902895295
DR ESTES NPI
MI
05
3120432
MI
05
5060594
MI
05
5060600
MI
Enumeration date
02/22/2007
Last updated
11/09/2012
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