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Organization

MODERN EYECARE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIMBERLY MERRYFIELD O.D. (OPTOMETRIST/OWNER)
(248) 651-3937
Entity
Organization

Contact information

Practice address
2025 25 MILE RD, SHELBY TOWNSHIP, MI 48316-0941
(248) 651-3937
(248) 651-5006
Mailing address
2025 25 MILE RD, SHELBY TOWNSHIP, MI 48316-0941
(248) 651-3937
(248) 651-5006

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
4901004068
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1578614079
NPI FOR INDIVIDUAL
MI
Enumeration date
09/30/2009
Last updated
09/30/2009
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