Professional Contact Lens Clinic Inc. in Farmington Hills - Optometrist
Professional Contact Lens Clinic Inc. - NPI 1487799599
Professional Contact Lens Clinic Inc. is a Optometrist in Farmington Hills, Michigan. Professional Contact Lens Clinic Inc. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Professional Contact Lens Clinic Inc. is 1487799599. The last update date is 2012-01-06.
Professional Contact Lens Clinic Inc.'s current location address is 30660 W 12 Mile Rd, Farmington Hills, Michigan. You can contact this provider via phone number 2487373937 and fax number 2487372816. The mailing address for Professional Contact Lens Clinic Inc. is 30660 W 12 Mile Rd, Farmington Hills, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Professional Contact Lens Clinic Inc. |
|---|---|
| Address | 30660 W 12 Mile Rd, Farmington Hills, Michigan |
| Phone Number | 2487373937 |
| Fax Number | 2487372816 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Demercurio Sam Rudolph |
| Credentials | O.D. |
| Telephone Number | 2487373937 |
NPI Number Detail
| NPI Number | 1487799599 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2012-01-06 |
Provider Mailing Address Detail
| Address | 30660 W 12 Mile Rd |
|---|---|
| City | Farmington Hills |
| State | Michigan (MI) |
| Post Code | 483343808 |
| Phone Number | 2487373937 |
| Fax Number | 2487372816 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2356 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MI4432 | MI | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Professional Contact Lens Clinic Inc. by the Centers for Medicare & Medicaid Services?
The Professional Contact Lens Clinic Inc. has been issued the NPI (National Provider Identifier) 1487799599, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Professional Contact Lens Clinic Inc.?
The Professional Contact Lens Clinic Inc. is physically situated at 30660 W 12 Mile Rd, in the city of Farmington Hills, state of MI, with the postal code 483343808.
What is the Professional Contact Lens Clinic Inc.'s area of specialization and corresponding taxonomy classification?
The Professional Contact Lens Clinic Inc.'s specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Professional Contact Lens Clinic Inc. receive the assignment of its 1487799599 from the Centers for Medicare & Medicaid Services?
The Professional Contact Lens Clinic Inc. was issued its 1487799599 by the Centers for Medicare & Medicaid Services on 2007-02-20.
As of what date was the information regarding Professional Contact Lens Clinic Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Professional Contact Lens Clinic Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-06.