Organization
FORTNEY EYECARE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TAYLOR (VP)
(313) 565-5600
Entity
Organization
Contact information
Practice address
23469 MICHIGAN AVENUE, DEARBORN, MI 48124
(313) 565-5600
(313) 562-3000
Mailing address
23469 MICHIGAN AVENUE, DEARBORN, MI 48124
(313) 565-5600
(313) 562-3000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901001955
MI
Other
Enumeration date
08/18/2006
Last updated
04/09/2014
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