Organization
UNIQUE OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HANNA OBERTYNSKI MD (PRESIDENT)
(313) 581-5600
Entity
Organization
Contact information
Practice address
15400 MICHIGAN AVE, STE 3, DEARBORN, MI 48126
(313) 581-5600
(313) 581-7986
Mailing address
15400 MICHIGAN AVE, STE 3, DEARBORN, MI 48126
(313) 581-5600
(313) 581-7986
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301030536
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0317700001
MRDME(DMEPOS)
—
Enumeration date
09/25/2006
Last updated
08/22/2020
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