Individual
DR. BARRY P AUGUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1611 S OPDYKE RD, BLOOMFIELD HILLS, MI 48304-1043
(248) 858-2535
Mailing address
1611 S OPDYKE RD, BLOOMFIELD HILLS, MI 48304-1043
(248) 858-2535
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002371
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382476261
FEDERAL TAX ID
MI
Enumeration date
12/15/2006
Last updated
10/10/2008
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