Organization
VISUAL EYES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN RUSSELL WALLINGTON O.D. (OPTOMETRIST)
(810) 667-4777
Entity
Organization
Contact information
Practice address
600 S MAIN ST, LAPEER, MI 48446-2463
(810) 667-4777
Mailing address
600 S MAIN ST, LAPEER, MI 48446-2463
(810) 667-4777
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4901003847
MI
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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