Organization
EL VALLE OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LETICIA MOTA (OWNER - OPTICIAN)
(313) 551-0707
Entity
Organization
Contact information
Practice address
1940 CAMPBELL ST, DETROIT, MI 48209-2125
(313) 551-0707
Mailing address
1940 CAMPBELL ST, DETROIT, MI 48209-2125
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156FX1100X
Ophthalmic Technician/Technologist
—
—
Other
Enumeration date
04/17/2019
Last updated
02/21/2025
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