Organization
PCOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL ELIAS (VP)
(248) 577-3624
Entity
Organization
Contact information
Practice address
19683 MACK AVE, GROSSE POINTE WOODS, MI 48236-2501
(313) 822-6000
(313) 822-6009
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
156FX1800X
Optician
—
—
332H00000X
Eyewear Supplier
Primary
—
MI
Other
Enumeration date
05/06/2008
Last updated
10/03/2023
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