Organization
SVS VISION INC
Active
Other names
SVS VISION 08
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G FARRELL JR. OD (OWNER/CEO)
(486) 468-7370
Entity
Organization
Contact information
Practice address
1314 N TELEGRAPH RD, MONROE, MI 48162
(734) 243-0960
(734) 243-0195
Mailing address
118 CASS AVE, MOUNT CLEMENS, MI 48043-2204
(586) 464-1479
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4796302
—
MI
Enumeration date
02/22/2007
Last updated
04/20/2023
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