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Contact Information

DETROIT OPTICAL CO
32987 WOODWARD AVE
ROYAL OAK, MI48073-0958
 Phone: 248-549-9080
 Fax: 248-549-4770
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for DETROIT OPTICAL CO · (Female)

NPI Number 1740278357
Status Active
Credentials
Entity Individual
Enumeration date 10/07/2005
Last updated 03/04/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4901002904
  • MI License # 4901002916
  • MI Other 900F377270 BCBSMI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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