Organization
DOUGLAS FAMILY VISION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH K DOUGLAS O.D. (OWNER)
(989) 752-7121
Entity
Organization
Contact information
Practice address
5025 SHATTUCK RD, SAGINAW, MI 48603-2823
(989) 752-7121
(989) 752-6918
Mailing address
5025 SHATTUCK RD, SAGINAW, MI 48603-2823
(989) 752-7121
(989) 752-6918
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004056
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4338380
—
MI
Enumeration date
09/15/2006
Last updated
06/19/2019
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