Organization
HILLSDALE OPTOMETRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORBETT AMBURGEY O.D. (CEO)
15174373365
Entity
Organization
Contact information
Practice address
43 S HOWELL ST, HILLSDALE, MI 49242-1851
(517) 437-3365
Mailing address
43 S HOWELL ST, HILLSDALE, MI 49242-1851
(517) 437-3365
(517) 437-3656
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004183
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4539708
—
MI
Enumeration date
11/21/2012
Last updated
05/22/2014
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