Optometry PC

NPI #1255409066 in Eastpointe, Michigan

Provider Information

NPI Number: 1255409066
Entity Type: Organization
Organization Name: Optometry PC
Primary Specialty: Optometrist
Enumeration Date: Dec 1, 2006
Last Updated: Dec 11, 2007

Practice Location

Address: 21701 KELLY RD
City: Eastpointe
State: Michigan
ZIP Code: 48021
Phone: (586) 779-4200

Authorized Official

Name: DR. DONALD W LAKIN, OD
Title: PRESIDENT
Phone: (586) 263-9708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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