Michigan Eye Care Provider Pllc

NPI #1598151318 in Fraser, Michigan

Provider Information

NPI Number: 1598151318
Entity Type: Organization
Organization Name: Michigan Eye Care Provider Pllc
Primary Specialty: Ophthalmology
Enumeration Date: Apr 8, 2015
Last Updated: Oct 3, 2022

Practice Location

Address: 33080 UTICA RD
City: Fraser
State: Michigan
ZIP Code: 48026-2038
Phone: (586) 296-7250

Authorized Official

Name: DR. MAHDI M BASHA, DO
Title: OWNER
Phone: (586) 296-7250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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