Organization
SVS VISION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G FARRELL JR. O.D. (CEO/OWNER)
(586) 468-7370
Entity
Organization
Contact information
Practice address
511 E HOUGHTON AVE, STE E, WEST BRANCH, MI 48661-1185
(989) 345-3680
(989) 345-4019
Mailing address
118 CASS AVE, MOUNT CLEMENS, MI 48043-2204
(586) 468-7370
(586) 468-7682
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4500481
—
MI
Enumeration date
03/15/2011
Last updated
12/20/2021
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