Organization
FAMILY EYE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMAD NAKKASH MD (PRESIDENT)
(248) 336-3937
Entity
Organization
Contact information
Practice address
22039 JOHN R RD, HAZEL PARK, MI 48030-1712
(248) 336-3937
(248) 336-3938
Mailing address
PO BOX 279, HAZEL PARK, MI 48030-0279
(248) 336-3937
(248) 336-3938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4301097180
MI
207W00000X
Ophthalmology Physician
Primary
4301097180
MI
Other
Enumeration date
06/05/2015
Last updated
06/11/2015
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