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Contact Information

ANN LACROIX FREDAL O.D. PLLC
136 CASS AVE
MOUNT CLEMENS, MI48043-2230
 Phone: 586-468-4211
 Fax: 586-468-6194
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for ANN LACROIX FREDAL O.D. PLLC

NPI # 1770885030
LBN Legal business name ANN LACROIX FREDAL O.D. PLLC
Authorized official MONICA SZCZEPANSKI - (OPTICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 11/18/2010
Last updated 06/09/2011 - About 15 years ago
Identifiers
MI License # 4901002973
MI Other 4007510001 MEDICARE DME
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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