Organization
CLIO VISION SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN QUILLEN (PRESIDENT)
(810) 686-8372
Entity
Organization
Contact information
Practice address
2155 W VIENNA RD, CLIO, MI 48420-1757
(810) 686-4240
(810) 686-1682
Mailing address
2155 W VIENNA RD, CLIO, MI 48420-1261
(810) 686-8372
(810) 686-1682
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002607
MI
Other
Enumeration date
03/08/2007
Last updated
04/02/2008
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