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Contact Information

P-COR LLC
1961 S. TELEGRAPH RD
BLOOMFIELD HILLS, MI48302
 Phone: 248-972-2555
 Fax: 248-972-2585
 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 P-COR LLC

NPI Number 1508407982
LBN Legal business name P-COR LLC
Authorized official GAIL ELIAS - (VP OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 10/07/2019
Last updated 10/07/2019 - About 7 years ago
Identifiers
MI Medicaid 1720033343
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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