Organization
HOLLY VISION SOURCE
Active
Parent organization
FLUSHING VISION CLINIC, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLUSHING VISION CLINIC, LLC
Authorized official
MS. REBECCA WALLACE (OFFICE MANAGER)
(810) 659-3135
Entity
Organization
Contact information
Practice address
1121 N SAGINAW ST, 1, HOLLY, MI 48442-1380
(810) 659-3135
Mailing address
1379 FLUSHING RD, FLUSHING, MI 48433-2262
(810) 659-3135
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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