Son Od Plc

NPI #1255075693 in Saint Clair, Michigan

Provider Information

NPI Number: 1255075693
Entity Type: Organization
Organization Name: Son Od Plc
Primary Specialty: Optometrist
Enumeration Date: Apr 22, 2022
Last Updated: Apr 22, 2022

Practice Location

Address: 201 N RIVERSIDE AVE
City: Saint Clair
State: Michigan
ZIP Code: 48079-5491
Phone: (800) 743-0396

Authorized Official

Name: JERROLYNN JUSTUSSON
Title: PRESIDENT
Phone: (800) 743-0396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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