Organization
THE VISIONARY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE M PREVAUX ABO,NCLEC (PRESIDENT)
(313) 389-3937
Entity
Organization
Contact information
Practice address
7333 ALLEN RD, ALLEN PARK, MI 48101-1920
(313) 389-3937
(313) 389-1113
Mailing address
7333 ALLEN RD, ALLEN PARK, MI 48101-1920
(313) 389-3937
(313) 389-1113
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002800
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900H268540
BCBS NUMBER
MI
Enumeration date
10/26/2006
Last updated
09/16/2008
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