Organization
FOREST PLACE OPTICAL
Active
Organization
FOREST PLACE OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID JAMES GETSCHMAN OPTICIAN (OWNER)
(734) 455-3340
Entity
Organization
Contact information
Practice address
449 S HARVEY ST, PLYMOUTH, MI 48170-1738
(734) 455-3340
(734) 455-1727
Mailing address
449 S HARVEY ST, PLYMOUTH, MI 48170-1738
(734) 455-3340
(734) 455-1727
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540H204540
BCBS
MI
Enumeration date
10/12/2007
Last updated
07/23/2008
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