Organization
BLOOMFIELD OPTICAL STUDIOS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER G VERGOS OD (PRESIDENT)
(248) 647-1166
Entity
Organization
Contact information
Practice address
79 W LONG LAKE RD, BLOOMFIELD HILLS, MI 48304-2747
(248) 647-1166
(248) 647-5375
Mailing address
79 W LONG LAKE RD, BLOOMFIELD HILLS, MI 48304-2747
(248) 647-1166
(248) 647-5375
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003310
MI
Other
Enumeration date
09/09/2008
Last updated
10/07/2008
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