Professional Contact Lens Clinic Inc.

NPI #1487799599 in Farmington Hills, Michigan

Provider Information

NPI Number: 1487799599
Entity Type: Organization
Organization Name: Professional Contact Lens Clinic Inc.
Primary Specialty: Optometrist
Enumeration Date: Feb 20, 2007
Last Updated: Jan 6, 2012

Practice Location

Address: 30660 W 12 MILE RD
Address 2: FARMINGTON HILLS
City: Farmington Hills
State: Michigan
ZIP Code: 48334-3808
Phone: (248) 737-3937

Authorized Official

Name: DR. RUDOLPH SAM DEMERCURIO, O.D.
Title: PRESIDENT
Phone: (248) 737-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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