Organization
UNIVERSITY EYE CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALLEN ROLAIN MD (PRESIDENT)
(586) 884-5160
Entity
Organization
Contact information
Practice address
44344 DEQUINDRE RD, STE. 110, STERLING HEIGHTS, MI 48314-1038
(586) 884-5160
(586) 884-5165
Mailing address
44344 DEQUINDRE RD, STE. 110, STERLING HEIGHTS, MI 48314-1038
(586) 884-5160
(586) 884-5165
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901003679
MI
152W00000X
Optometrist
4901004259
MI
207W00000X
Ophthalmology Physician
Primary
4301058346
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180046164
RAILROAD MEDICARE
—
Enumeration date
11/01/2006
Last updated
10/30/2020
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