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Contact Information

P-COR, LLC
504 N TELEGRAPH RD
MONROE, MI48162
 Phone: 734-243-2020
 Fax: 734-243-4567
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for P-COR, LLC

NPI Number 1871788562
LBN Legal business name P-COR, LLC
Authorized official GAIL ELIAS - (VP)
Entity Organization
Organization subpart 1 No
Enumeration date 09/06/2007
Last updated 01/22/2018 - About 8 years ago
Identifiers
MI License # 4901003915
MI Medicaid 4093447
MI Other 900E810860 BLUE CROSS BLUE SHIELD
MI Other 38866 DAVIS VISION
MI Other MI3915 EYEMED
MI Other 230629 NVA
MI Other 03420 PARAMOUNT
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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