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Contact Information

SHELBY EYECARE ASSOCIATES PC
48187 VAN DYKE AVE
SHELBY, MI48317-3268
 Phone: 586-739-9550
 Fax: 586-739-0083
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Occupational Vision

152WX0102X 41 Optometry
 

Pediatrics

152WP0200X 41 Optometry
 

Sports Vision

152WS0006X 41 Optometry
 

Vision Therapy

152WV0400X 41 Optometry
Indicates primary specialty

NPI Profile & details for SHELBY EYECARE ASSOCIATES PC

NPI # 1275588840
LBN Legal business name SHELBY EYECARE ASSOCIATES PC
Authorized official MARIE DORAU - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2006
Last updated 12/29/2010 - About 15 years ago
Identifiers
MI License # 4901003013
MI Other P90472 BLUE CARE NETWORK
MI Other 002109A VSP GROUP NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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