Individual
DR. BASILIKI EVELYN TOMARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
45260 VAN DYKE AVE, UTICA, MI 48317-5672
(586) 731-1920
(586) 731-8179
Mailing address
45260 VAN DYKE AVE, UTICA, MI 48317-5672
(586) 731-1920
(586) 731-8179
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004552
MI
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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