Organization
CHILDREN'S EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI FRITZ (PRACTICE MANAGER)
(248) 254-8140
Entity
Organization
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-3937
(313) 745-0401
Mailing address
6689 ORCHARD LAKE ROAD #297, WEST BLOOMFIELD, MI 48322-3009
(248) 254-8140
(248) 254-8150
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1534388
—
MI
Enumeration date
01/26/2012
Last updated
04/20/2020
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