Organization
MICHIGAN EYE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI FAKIH OD (OWNER)
(313) 707-6667
Entity
Organization
Contact information
Practice address
14726 CHAMPAIGN RD, ALLEN PARK, MI 48101-1617
(313) 707-6667
(313) 789-5478
Mailing address
14726 CHAMPAIGN RD, ALLEN PARK, MI 48101-1617
(313) 707-6667
(313) 789-5478
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004300
MI
Other
Enumeration date
07/21/2011
Last updated
10/11/2016
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