Organization
KS OPTOM PLLC
Active
Other names
Maple Eye Care and Eyewear
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN SEMMA OD (PRESIDENT)
(248) 246-4466
Entity
Organization
Contact information
Practice address
3683 W MAPLE RD, BLOOMFIELD HILLS, MI 48301-3376
(248) 246-4466
(248) 246-4467
Mailing address
3683 W MAPLE RD, BLOOMFIELD HILLS, MI 48301-3376
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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