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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

NPI # 1740278357
LBN Legal business name DETROIT OPTICAL CO
Authorized official KENNETH FOON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/07/2005
Last updated 03/04/2011 - About 15 years ago
Identifiers
MI License # 4901002904
MI License # 4901002916
MI Other 900F377270 BCBSMI
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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