National Provider Identifier Database

SUBURBAN OPTOMETRICS ASSOC P C
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

SUBURBAN OPTOMETRICS ASSOC P C
32415 5 MILE RD
LIVONIA, MI48154-3039
Phone: 734-525-8170
Fax: 734-525-0726
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Low Vision Rehabilitation 152WL0500X
Vision Therapy 152WV0400X

* Indicates primary specialty

NPI Profile & details for SUBURBAN OPTOMETRICS ASSOC P C

NPI Number 1952518748
Legal business name
LBN
SUBURBAN OPTOMETRICS ASSOC P C
Authorized official JOHN JACOBI - (OPTOMETRIST)
Entity Organization
Organization subpart No
Enumeration date 05/17/2007
Last updated 03/22/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 4901003184
  • MI License #: 4901003208
  • MI License #: 4901004024
  • MI License #: 4901004851
  • MI Medicaid: 2603194
  • MI Medicaid: 4309851

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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