Medical Village Optical Shoppe Inc.
NPI #1033567490 in Beverly Hills, Michigan
Provider Information
- NPI Number
- 1033567490
- Entity Type
- Organization
- Organization Name
- Medical Village Optical Shoppe Inc.
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- May 26, 2016
- Last Updated
- May 26, 2016
Practice Location
- Address
- 31815 SOUTHFIELD RD
- Address 2
- SUITE #12
- City
- Beverly Hills
- State
- Michigan
- ZIP Code
- 48025-5471
- Phone
- (248) 645-2220
Authorized Official
- Name
- ROY KNOERR
- Title
- PRESIDENT
- Phone
- (248) 645-2220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
| Technician/Technologist - Contact Lens — Contact Lens |
| Ophthalmology |
| Technician/Technologist - Optician — Optician |
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