Organization
ON HEALTHCARE - OPTOMETRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN H LILLEY (CEO)
(248) 528-1981
Entity
Organization
Contact information
Practice address
224 HARRISON ST, SUITE 218, SYRACUSE, NY 13202-3056
(248) 528-1981
(248) 528-2183
Mailing address
100 W BIG BEAVER RD, SUITE 655, TROY, MI 48084-5206
(248) 528-1981
(248) 528-2183
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007663-1
NY
Other
Enumeration date
01/20/2011
Last updated
01/24/2011
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