Individual
CARLOS WALDO MONTANEZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
WALMART VISION CENTER, 9190 HIGHLAND RD., WHITE LAKE, MI 48386
(248) 698-9782
(248) 698-9785
Mailing address
P.O. BOX 701, MANCHESTER, MI 48158
(734) 355-4673
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
188
PR
152W00000X
Optometrist
Primary
4901004946
MI
Other
Enumeration date
06/05/2008
Last updated
05/10/2024
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