Organization
GREAT LAKES VISION REHABILITATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON NICHOLS OD (OWNER)
(734) 578-8598
Entity
Organization
Contact information
Practice address
48189 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-3268
(586) 731-9725
(586) 488-0006
Mailing address
48189 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-3268
(586) 731-9725
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
01/31/2023
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