Organization · NPI-2

Advanced Primary Eyecare P.C.

Optometrist · Southfield, MI

NPI number1225258015
StatusActive
Last updated in NPPESFeb 8, 2013

Details

NPI
1225258015
Entity type
Organization (NPI-2)
Legal business name
Advanced Primary Eyecare P.C.
Organization subpart
No
Enumeration date
Apr 26, 2007
Last updated
Feb 8, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist002872MIYes

Practice location

26771 W 12 Mile Rd
Suite 100
Southfield, MI 48034-1539

Phone 248-644-0644 · Fax 248-827-3675

Mailing address

26771 W 12 Mile Rd
Suite 100
Southfield, MI 48034-1539

Phone 248-644-0644 · Fax 248-827-3675

Authorized official

Ray A Salerno
President
2486440644

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