Organization
EYEGLASSES ONLINE DIRECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA MARIE NICHOLAS CERTIFIED OPTICIAN (MANAGING DIRECTOR)
(586) 915-7465
Entity
Organization
Contact information
Practice address
41975 BROOKVIEW LN, CLINTON TOWNSHIP, MI 48038-5227
(586) 915-7465
Mailing address
41975 BROOKVIEW LN, CLINTON TOWNSHIP, MI 48038-5227
(586) 915-7465
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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