Organization
BELLEVILLE-CANTON OPTOMETRY LLC
Active
Parent organization
BELLEVILLE-CANTON OPTOMETRY LLC
Other names
VisionPro Eyecare
Organization subpart
Yes
Provider details
NPI number
Legal business name
BELLEVILLE-CANTON OPTOMETRY LLC
Authorized official
JODI LESNICK-QUISLING (OWNER)
(734) 844-0400
Entity
Organization
Contact information
Practice address
1675 N CANTON CENTER RD, CANTON, MI 48187
(734) 844-0400
(734) 844-0403
Mailing address
1675 N CANTON CENTER RD, CANTON, MI 48187-2948
(734) 844-0400
(734) 844-0403
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801073119
—
MI
Enumeration date
07/27/2015
Last updated
09/06/2018
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