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Organization

ROCKFORD FAMILY EYECARE, LLC

Active
Other names
Rockford Family Eyecare
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THEODORE F SEES (MANAGER/MEMBER)
(202) 308-4796
Entity
Organization

Contact information

Practice address
2745 10 MILE RD NE, ROCKFORD, MI 49341-9146
(202) 308-4796
Mailing address
4209 N DEARING RD, PARMA, MI 49269-9726
(202) 308-4796

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004807
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4901004807
MI
Enumeration date
07/17/2014
Last updated
11/13/2014
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