Organization
MAIN STREET OPTOMETRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE LYNN LALIBERTE O.D. (OWNER)
(734) 878-7444
Entity
Organization
Contact information
Practice address
1245 E. MAIN ST., PINCKNEY, MI 48169-8133
(734) 878-7444
(734) 878-0678
Mailing address
1245 E. MAIN ST., PINCKNEY, MI 48169-8133
(734) 878-7444
(734) 878-0678
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003882
MI
Other
Enumeration date
12/05/2006
Last updated
02/25/2014
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