Organization
VISION CENTER OF CANTON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE A JACK OD (OWNER/OPTOMETRIST)
(734) 981-2700
Entity
Organization
Contact information
Practice address
325 N. LILLEY RD., CANTON, MI 48187-3908
(734) 981-2700
(734) 981-0198
Mailing address
325 N. LILLEY RD., CANTON, MI 48187-3908
(734) 981-2700
(734) 981-0198
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/19/2008
Last updated
08/21/2023
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