Organization
CHILDRENS EYE CARE PC
Active
Organization
CHILDRENS EYE CARE PC
Active
Other names
Pediatric Ophthalmology Associate
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ROARTY MD (PRESIDENT)
(313) 561-1777
Entity
Organization
Contact information
Practice address
22731 NEWMAN ST STE 245, DEARBORN, MI 48124-2023
(313) 561-1777
(313) 561-8044
Mailing address
6689 ORCHARD LAKE RD # 297, WEST BLOOMFIELD, MI 48322-3404
(248) 254-8140
(248) 254-8150
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1534388
—
MI
Enumeration date
03/30/2006
Last updated
04/20/2020
Update your record
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