National Provider Identifier Database

MARZUKA KHAN JALAL OD PLLC
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

MARZUKA KHAN JALAL OD PLLC
43271 FORD RD
CANTON, MI48187-3340
Phone: 734-981-8111
Fax: 734-981-2327
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for MARZUKA KHAN JALAL OD PLLC

NPI Number 1801664255
Legal business name
LBN
MARZUKA KHAN JALAL OD PLLC
Authorized official MARZUKA KHAN JALAL - (OPTOMETRIST)
Entity Organization
Organization subpart No
Enumeration date 12/14/2023
Last updated 12/14/2023 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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