Organization
BIRMINGHAM VISION CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRIET C PELTON OD (OWNER)
(248) 539-4800
Entity
Organization
Contact information
Practice address
4114 W MAPLE RD, BLOOMFIELD, MI 48301
(248) 539-4800
(248) 539-4894
Mailing address
4114 W MAPLE RD, BLOOMFIELD, MI 48301-3000
(248) 539-4800
(248) 539-4894
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900F378080
BCBS MI
—
Enumeration date
12/13/2006
Last updated
01/07/2013
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