Organization
SWANSON EYECARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG ROBERT SWANSON O.D. (OWNER)
(248) 427-9620
Entity
Organization
Contact information
Practice address
39885 GRAND RIVER AVE, SUITE 200, NOVI, MI 48375-2151
(248) 427-9620
(248) 427-9610
Mailing address
39885 GRAND RIVER AVE, SUITE 200, NOVI, MI 48375-2151
(248) 427-9620
(248) 427-9610
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003253
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ON60600
HEALTH ALLIANCE PLAN(HAP)
MI
01
—
ON60600
ADMINISTAR
—
Enumeration date
02/20/2007
Last updated
06/27/2012
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