Organization
EYES ON MIDTOWN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY R HUMES O.D. (OWNER)
(313) 316-0120
Entity
Organization
Contact information
Practice address
71 GARFIELD ST, DETROIT, MI 48201-1905
(313) 316-0120
Mailing address
71 GARFIELD ST, DETROIT, MI 48201-1905
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901003785
MI
152W00000X
Optometrist
Primary
4901004672
MI
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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