Organization
PCOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL A. ELIAS (VP)
(248) 577-3624
Entity
Organization
Contact information
Practice address
4281 24TH AVE # ATE200, FORT GRATIOT, MI 48059-3997
(810) 385-4000
Mailing address
735 JOHN R RD STE 150, TROY, MI 48083-5859
(248) 588-9300
(248) 307-9518
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
MI
332H00000X
Eyewear Supplier
—
MI
Other
Enumeration date
05/06/2008
Last updated
03/17/2018
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