Organization
P-COR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL ELIAS (VP)
(248) 577-3624
Entity
Organization
Contact information
Practice address
400 RENAISSANCE CTR STE 1402, DETROIT, MI 48243-1502
(313) 324-8100
(313) 567-2568
Mailing address
735 JOHN R RD STE 150, TROY, MI 48083-5859
(248) 588-9300
(248) 588-3355
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
04/18/2014
Last updated
01/22/2018
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