Organization
SALIM OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALIM KENETHA (OWNER)
(248) 835-0496
Entity
Organization
Contact information
Practice address
2001 15 MILE RD, STERLING HEIGHTS, MI 48310-4864
(586) 693-5060
(586) 693-5060
Mailing address
2001 15 MILE RD, STERLING HEIGHTS, MI 48310-4864
(586) 693-5060
(586) 693-5060
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
220452
—
207W00000X
Ophthalmology Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
332H00000X
Eyewear Supplier
220452
MI
Other
Enumeration date
11/08/2017
Last updated
11/07/2022
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