Lakeville Eye Care Center, Inc.
NPI #1770526436 in Millington, Michigan
Provider Information
- NPI Number
- 1770526436
- Entity Type
- Organization
- Organization Name
- Lakeville Eye Care Center, Inc.
- Primary Specialty
- Optometrist
- Enumeration Date
- Jun 13, 2006
- Last Updated
- Jan 17, 2013
Practice Location
- Address
- 9575 STATE RD
- City
- Millington
- State
- Michigan
- ZIP Code
- 48746-9482
- Phone
- (989) 871-9552
Authorized Official
- Name
- MRS. TERESA MARIE ENNIS-DECKER, O.D.
- Title
- OWNER
- Phone
- (989) 871-9552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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