Organization
IMLAY CITY OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR F WHALEY JR. (PRESIDENT)
(810) 724-6155
Entity
Organization
Contact information
Practice address
125 W 3RD ST, IMLAY CITY, MI 48444-1029
(810) 724-6155
(810) 724-7708
Mailing address
125 W 3RD ST, IMLAY CITY, MI 48444-1029
(810) 724-6155
(810) 724-7708
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
MI
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700912433
—
MI
Enumeration date
09/21/2015
Last updated
09/21/2015
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