Organization
FORTNEY EYECARE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TAYLOR (VICE PRESIDENT)
(313) 565-5600
Entity
Organization
Contact information
Practice address
3824 E 13 MILE RD, WARREN, MI 48092-1314
(586) 751-2600
Mailing address
3824 E 13 MILE RD, WARREN, MI 48092-1314
(586) 751-2600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901001955
MI
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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