Organization
ASSOCIATED EYE ASSOCIATES OF DETROIT, PC
Active
Other names
Yaldo Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
MAZIN YALDO MD (PRESIDENT)
(313) 278-4540
Entity
Organization
Contact information
Practice address
279 W 9 MILE RD, FERNDALE, MI 48220-1795
(248) 541-5951
Mailing address
65 CADILLAC SQ, 105, DETROIT, MI 48226-2844
(313) 963-8411
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1195360001
SUPPLIER NUMBER
MI
Enumeration date
02/25/2007
Last updated
08/22/2020
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