Organization
THE VILLAGE OPTICIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA LEIGH PARENT (OPTICIAN/OWNER)
(248) 642-2225
Entity
Organization
Contact information
Practice address
725 SOUTH ADAMS ROAD, SUITE 125, BIRMINGHAM, MI 48009
(248) 642-2225
(248) 220-4261
Mailing address
725 SOUTH ADAMS ROAD, SUITE 125, BIRMINGHAM, MI 48009
(248) 642-2225
(248) 220-4261
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900F365720
BCBS MI
MI
Enumeration date
04/02/2007
Last updated
01/28/2015
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