Organization
MICHIGAN OPHTHALMOLOGY SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY ZWICKER (CREDENTIALING MANAGER)
(248) 395-5175
Entity
Organization
Contact information
Practice address
44555 WOODWARD AVE STE 203, PONTIAC, MI 48341-5033
(248) 334-4931
Mailing address
30150 TELEGRAPH RD STE 271, BINGHAM FARMS, MI 48025-4521
(248) 395-5175
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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