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Imlay City Optical INC

Technician/Technologist, Optician in Imlay City, MI. Organization (NPI-2).

NPI number1700912433
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1700912433
Entity type
Organization (NPI-2)
Legal business name
Imlay City Optical INC
Organization subpart
No
Enumeration date
Feb 26, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician–MIYes

Practice location

125 W 3rd St
Imlay City, MI 48444-1029

Phone 810-724-6155 · Fax 810-724-7708

Mailing address

125 W 3rd St
Imlay City, MI 48444-1029

Phone 810-724-6155 · Fax 810-724-7708

Authorized official

Arthur F Whaley
President
8107246155

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