Organization
LAKE ORION VISION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY ZAIR (OPTOMETRIST/OWNER)
(248) 693-2321
Entity
Organization
Contact information
Practice address
81 INDIANWOOD RD, LAKE ORION, MI 48362-1595
(248) 693-2321
Mailing address
81 INDIANWOOD RD, LAKE ORION, MI 48362-1595
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679887814
NPI
—
05
—
1679887814
—
MI
Enumeration date
05/14/2015
Last updated
07/13/2015
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