Organization
DFS OPTICAL
Active
Parent organization
LAURENCE OPTICAL CO.
Other names
Laurence Optical Co., Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAURENCE OPTICAL CO.
Authorized official
MR. DANIEL F. SPICKLER OPTICIAN (PRESIDENT)
(248) 375-0022
Entity
Organization
Contact information
Practice address
2915 WALTON BLVD, ROCHESTER HILLS, MI 48309-1419
(248) 375-0022
Mailing address
2915 WALTON BLVD, ROCHESTER HILLS, MI 48309-1419
(248) 375-0022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
L1159742
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OF37800
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/20/2008
Last updated
02/20/2008
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