Organization · NPI-2

Benjamin H Stein Od INC

Optometrist · Southfield, MI

NPI number1760640718
StatusActive
Last updated in NPPESJul 14, 2010

Details

NPI
1760640718
Entity type
Organization (NPI-2)
Legal business name
Benjamin H Stein Od INC
Organization subpart
No
Enumeration date
May 27, 2008
Last updated
Jul 14, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes
332H00000X Eyewear Supplier (Equipment, not the service)––

Practice location

21500 Northwestern Hwy
Suite #635
Southfield, MI 48075-5018

Phone 248-569-2025 · Fax 248-569-5103

Mailing address

21500 Northwestern Hwy
Suite #635
Southfield, MI 48075-5018

Phone 248-569-2025 · Fax 248-569-5103

Authorized official

Stuart Alan Stein
President/Sec. Treas.
2485692025

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