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Organization

SVS VISION INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT G FARRELL JR. OD (CEO/OWNER)
(586) 468-7370
Entity
Organization

Contact information

Practice address
4930 MARSH RD, SPACE #5, OKEMOS, MI 48864-1153
(517) 709-8010
(517) 709-8049
Mailing address
118 CASS AVE, MOUNT CLEMENS, MI 48043-2204
(586) 468-7370
(586) 468-7676

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MI
332H00000X
Eyewear Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194879023
MI
Enumeration date
07/15/2013
Last updated
06/29/2023
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