Organization
OPTOMETRIC INSTITUTE AND CLINIC OF DETROIT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ARMSTEAD (EXECUTIVE DIRECTOR)
(313) 872-2060
Entity
Organization
Contact information
Practice address
3044 W GRAND BLVD, SUITE L-350, DETROIT, MI 48202-3037
(313) 872-2060
(313) 872-1020
Mailing address
3044 W GRAND BLVD, SUITE L-350, DETROIT, MI 48202-3037
(313) 872-2060
(313) 872-1020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5023750
—
MI
01
—
900H267920
BLUECROSS
MI
Enumeration date
11/20/2006
Last updated
10/28/2009
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