Organization
IMLAY CITY OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR F WHALEY JR. (PRESIDENT)
(810) 724-6155
Entity
Organization
Contact information
Practice address
125 W 3RD ST, IMLAY CITY, MI 48444-1029
(810) 724-6155
(810) 724-7708
Mailing address
125 W 3RD ST, IMLAY CITY, MI 48444-1029
(810) 724-6155
(810) 724-7708
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003127
—
MI
01
—
OD47605
BCBS
MI
Enumeration date
02/26/2007
Last updated
08/22/2020
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