Organization
THOMAS B PARDEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS B PARDEE O.D. (PRESIDENT)
(810) 736-0710
Entity
Organization
Contact information
Practice address
4091 RICHFIELD RD, FLINT, MI 48506-2033
(810) 736-0710
(810) 736-2713
Mailing address
4091 RICHFIELD RD, FLINT, MI 48506-2033
(810) 736-0710
(810) 736-2713
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002600
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900B565730
BCBS OF MI
MI
Enumeration date
03/13/2007
Last updated
09/11/2008
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