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Contact Information

FRASER OPTICAL CLINIC, INC.
32925 GROESBECK HIGHWAY
FRASER, MI48026
 Phone: 586-293-8888
 Fax: 586-296-0726
 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 FRASER OPTICAL CLINIC, INC.

NPI # 1447326244
LBN Legal business name FRASER OPTICAL CLINIC, INC.
Authorized official MARK STEFANI - (DOCTOR OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/27/2006
Last updated 02/05/2008 - About 18 years ago
Identifiers
MI Medicaid 3404800
Other 900E06513 BCBS
Other 110955 EYEMED
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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