Sopha Opticians, Pllc

NPI #1417194580 in Washington, Michigan

Provider Information

NPI Number: 1417194580
Entity Type: Organization
Organization Name: Sopha Opticians, Pllc
Primary Specialty: Eyewear Supplier
Enumeration Date: Jan 12, 2009
Last Updated: Apr 21, 2009

Practice Location

Address: 64207 VAN DYKE RD
City: Washington
State: Michigan
ZIP Code: 48095-2579
Phone: (586) 336-4566

Authorized Official

Name: MRS. SHIRLEY SOPHA, A.B.O.C.
Title: OWNER/OPTICIAN
Phone: (586) 336-4566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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