Organization
EYE DEFINITION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY PAUL LIZYNESS O.D. (OPTOMETRIST)
(734) 891-8626
Entity
Organization
Contact information
Practice address
405 N. CANTON CENTER, CANTON, MI 48187
(734) 891-8626
Mailing address
2839 RIVER MEADOW CIR, CANTON, MI 48188-2333
(734) 891-8626
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004254
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4636283
—
MI
Enumeration date
03/25/2014
Last updated
03/25/2014
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