Individual
DR. GARY S OPPENHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
33308 GRAND RIVER AVE, FARMINGTON, MI 48336-3124
(248) 474-5125
(248) 474-4854
Mailing address
33308 GRAND RIVER AVE, FARMINGTON, MI 48336-3124
(248) 474-5125
(248) 474-4854
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002613
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3178370
—
MI
05
—
317837094
—
MI
01
—
900F366860
BCBSM
MI
Enumeration date
11/15/2005
Last updated
05/14/2010
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