Jeffrey Richard Varanelli, OD
Optometrist in Warren, MI. Individual provider (NPI-1).
NPI number1396792016
StatusActive
Last updated in NPPESJun 16, 2016
Details
- NPI
- 1396792016
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey Richard Varanelli
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 28, 2006
- Last updated
- Jun 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4901003935 | MI | Yes |
| 207W00000X | Ophthalmology | 16 | MI |
Practice location
29245 Ryan Road#100 Simone Eye Center
Warren, MI 48092
Phone 586-558-2981 · Fax 586-558-8838
Mailing address
29245 Ryan Road#100 Simone Eye Center
Warren, MI 48092-1421
Phone 586-558-2981 · Fax 586-558-8838
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All 20 Optometrist providers in Warren · All 4,104 providers in Warren
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