Organization
SVS VISION INC
Active
Other names
SVS VISION 21
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT G FARRELL JR. OD (CEO/OWNER)
(586) 468-7370
Entity
Organization
Contact information
Practice address
36383 26 MILE RD, LENOX, MI 48048-3164
(586) 648-5990
(586) 270-1532
Mailing address
118 CASS AVE, MOUNT CLEMENS, MI 48043-2204
(586) 468-7370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4500436
—
MI
Enumeration date
02/22/2007
Last updated
06/29/2023
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