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Organization

MARY H ESPY OD PC

Active
Other names
Deltavision Optical Center
Organization subpart
No

Provider details

NPI number
Authorized official
MARY H ESPY OD (PRESIDENT)
(810) 814-5527
Entity
Organization

Contact information

Practice address
G3541 MILLER RD, FLINT, MI 48507-1235
(810) 732-8610
(810) 732-6831
Mailing address
2325 SWANS CV, FENTON, MI 48430-3006
(810) 814-5527

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003627
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0B505850
BCBS
MI
01
11839337
CAQH
05
4445165
MI
01
P60754
BLUE CARE NETWORK
Enumeration date
07/19/2010
Last updated
09/19/2025
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