Organization
NORMANDY OPTICAL NORTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD BLAZIUS O.D. (OWNER/DR.)
(586) 775-6733
Entity
Organization
Contact information
Practice address
47093 HAYES RD, SHELBY TOWNSHIP, MI 48315-4909
(586) 775-6733
(586) 775-0397
Mailing address
47093 HAYES RD, SHELBY TOWNSHIP, MI 48315-4909
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900E009490
BCBSM
MI
Enumeration date
02/10/2010
Last updated
02/24/2016
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