Organization
NATIONAL EYEWEAR OUTLET OF WARREN
Active
Other names
National Discount Eyewear
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRIE ANN HICKS (VICE PRESIDENT-OPTICIAN)
(586) 558-3059
Entity
Organization
Contact information
Practice address
3200 E 12 MILE RD, SUITE 104, WARREN, MI 48092-5621
(586) 558-3059
(586) 558-3067
Mailing address
3200 E 12 MILE RD, SUITE 104, WARREN, MI 48092-5621
(586) 558-3059
(586) 558-3067
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
B
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147096
COLE MANAGED VISION
MI
01
—
233194
NVA
MI
01
—
CP1749
EYEMED LOCATION
MI
01
—
MI2556
EYEMED DR
MI
01
—
OP1347
EYEMED SHERRIE
MI
01
—
OP1348
EYEMED GARY
MI
Enumeration date
01/29/2007
Last updated
07/21/2022
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