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Organization

SHIAWASSEE OPTICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HARRY GEORGE WRIGHT M.D. (OWNER)
(989) 723-4732
Entity
Organization

Contact information

Practice address
259 N STATE RD, OWOSSO, MI 48867-9075
(989) 723-4732
(989) 743-8111
Mailing address
259 N STATE RD, PO BOX 1510, OWOSSO, MI 48867-9075
(989) 723-4732
(989) 743-8111

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
HW040772
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
540G80269
H PROVIDER NUMBER
MI
Enumeration date
08/03/2006
Last updated
07/21/2022
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