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Contact Information

SUBURBAN OPTOMETRICS ASSOC P C
32415 5 MILE RD
LIVONIA, MI48154-3039
 Phone: 734-525-8170
 Fax: 734-525-0726
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
 

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for SUBURBAN OPTOMETRICS ASSOC P C · (Female)

NPI # 1952518748
Status Active
Credentials
Entity Individual
Enumeration date 05/17/2007
Last updated 03/22/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4901003184
  • MI License # 4901003208
  • MI License # 4901004024
  • MI License # 4901004851
  • MI Medicaid 2603194
  • MI Medicaid 4309851
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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