Organization
SVS VISION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G FARRELL JR. OD (OWNER/CEO)
(586) 468-7370
Entity
Organization
Contact information
Practice address
5761 E 12 MILE RD, WARREN, MI 48092-4640
(586) 619-3600
(586) 619-3603
Mailing address
118 CASS AVE, MOUNT CLEMENS, MI 48043-2204
(586) 468-7370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4500481
—
MI
01
—
MI1465
PTAN
MI
Enumeration date
03/08/2012
Last updated
06/29/2023
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