Individual
DR. NANCY M MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6602 TELEGRAPH RD, BLOOMFIELD HILLS, MI 48301-3012
(248) 419-3500
(248) 419-3503
Mailing address
14607 VENTURA BLVD, SHERMAN OAKS, CA 91403-3617
(818) 789-3311
(818) 789-1047
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004881
MI
152WC0802X
Corneal and Contact Management Optometrist
TUV56007351
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11872180
CAQH PROVIDER ID
NY
05
—
1649426735
—
MI
Enumeration date
08/08/2008
Last updated
10/18/2016
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