Organization
SVS VISION INC
Active
Other names
SVS Vision Optical Centers
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GUY FARRELL OD (OWNER)
(586) 468-7370
Entity
Organization
Contact information
Practice address
15620 HALL RD, CLINTON TOWNSHIP, MI 48038-1036
(586) 676-9000
(586) 408-6038
Mailing address
118 CASS AVE, MOUNT CLEMENS, MI 48043-2204
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194879023
—
MI
Enumeration date
09/16/2019
Last updated
12/11/2019
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