Organization
CATARACT SPECIALTY SURGICAL CENTER, LLC
Active
Other names
Cataract specialty surgical center
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH JANKOWSKI BSN, RN (ADMINISTATOR)
(248) 586-4602
Entity
Organization
Contact information
Practice address
28747 WOODWARD AVE LOWR LEVEL, BERKLEY, MI 48072-0931
(248) 584-4602
(248) 584-4630
Mailing address
28747 WOODWARD AVE, LOWER LEVEL, BERKLEY, MI 48072-0914
(248) 584-4602
(248) 584-4630
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
636901
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00089786
RR MEDICARE
—
Enumeration date
05/31/2005
Last updated
05/16/2022
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