Modern Eyes Pllc

NPI #1700817376 in Macomb, Michigan

Provider Information

NPI Number: 1700817376
Entity Type: Organization
Organization Name: Modern Eyes Pllc
Primary Specialty: Optometrist
Enumeration Date: Jul 5, 2006
Last Updated: Jun 17, 2009

Practice Location

Address: 51242 WESTWOOD DR
City: Macomb
State: Michigan
ZIP Code: 48042-4286
Phone: (586) 350-3141

Authorized Official

Name: JEFFREY J FITZMAURICE, O.D.
Title: MEMBER
Phone: (586) 350-3141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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