Organization
EYE CARE OPTOMETRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA HAYES (BILLING DEPT)
(313) 382-9650
Entity
Organization
Contact information
Practice address
1755 DIX HWY, LINCOLN PARK, MI 48146-1412
(313) 382-9650
(313) 382-0723
Mailing address
1755 DIX HWY, LINCOLN PARK, MI 48146-1412
(313) 382-9650
(313) 382-0723
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0762220001
DMERC
MI
Enumeration date
05/08/2007
Last updated
09/29/2010
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