Organization
ABDELLA EYECARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PHILIP ABDELLA OD (PRESIDENT)
(810) 732-0202
Entity
Organization
Contact information
Practice address
1356 S LINDEN RD, FLINT, MI 48532-4185
(810) 732-0202
Mailing address
1356 S LINDEN RD, FLINT, MI 48532-4185
(810) 732-0202
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
4901002484
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1094990001
DMEPOS
MI
01
—
JA056550
BCBS
MI
Enumeration date
09/28/2007
Last updated
09/28/2007
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