Organization
FAMILY OPTOMETRY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP DAVID COHEN O.D (DOCTOR)
(248) 740-0222
Entity
Organization
Contact information
Practice address
2950 E WATTLES RD, SUITE 100, TROY, MI 48085-7008
(248) 740-0222
(248) 689-0123
Mailing address
2950 E WATTLES RD, SUITE 100, TROY, MI 48085-7008
(248) 740-0222
(248) 689-0123
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002367
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN
MI
05
—
1876473
—
MI
01
—
900F36621
BLUE CROSS BLUE SHEILD
MI
Enumeration date
11/13/2006
Last updated
05/21/2020
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