Organization
FEARON OPTICAL
Active
Other names
Prestige Eyewear
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E FEARON (PRESIDENT)
(734) 525-1145
Entity
Organization
Contact information
Practice address
27854 FORD RD, GARDEN CITY, MI 48135-2925
(734) 525-1145
Mailing address
27854 FORD RD, GARDEN CITY, MI 48135-2925
(734) 525-1145
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H21172
BCBSM
MI
01
—
OP1407
EYEMED
MI
Enumeration date
11/17/2006
Last updated
10/10/2007
Update your record
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