Organization
SVS VISION INC
Active
Other names
SVSVISION 47
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G FARRELL JR. OD (OWNER/CEO)
(586) 468-7370
Entity
Organization
Contact information
Practice address
1793 S CEDAR ST, IMLAY CITY, MI 48444-1342
(810) 721-9411
(810) 721-9512
Mailing address
118 CASS AVE, MOUNT CLEMENS, MI 48043-2204
(586) 468-7370
(586) 468-7682
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4500543
—
MI
Enumeration date
02/23/2007
Last updated
09/21/2021
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