Organization
P-COR LLC
Active
Other names
HENRY FORD OPTIMEYES
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL ELIAS (VP OF OPERATIONS)
(248) 577-3624
Entity
Organization
Contact information
Practice address
1961 S. TELEGRAPH RD, BLOOMFIELD HILLS, MI 48302
(248) 972-2555
(248) 972-2585
Mailing address
735 JOHN R RD STE 150, TROY, MI 48083-5859
(248) 588-9300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720033343
—
MI
Enumeration date
10/07/2019
Last updated
10/07/2019
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