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Contact Information

P-COR, LLC
3271 UNION LAKE RD
COMMERCE TOWNSHIP, MI48382-4550
 Phone: 248-360-0121
 Fax: 248-360-9007
 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 # 1821481078
LBN Legal business name P-COR, LLC
Authorized official GAIL ELIAS - (VP)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2015
Last updated 01/23/2020 - About 6 years ago
Identifiers
MI Other 0M30440 MEDICARE PTAN
MI Other 1141070051 PTAN
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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