Organization · NPI-2

2020 Family Vision Sf

Optometrist · Southfield, MI

NPI number1780180521
StatusActive
Last updated in NPPESJul 13, 2018

Details

NPI
1780180521
Entity type
Organization (NPI-2)
Legal business name
2020 Family Vision Sf
Organization subpart
No
Enumeration date
Apr 2, 2018
Last updated
Jul 13, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Practice location

26771 W 12 Mile Rd
Southfield, MI 48034

Phone 248-263-4900

Mailing address

6593 Apple Blossom Trl
West Bloomfield, MI 48322-2765

Authorized official

Tiffany Kays Zair
President
2483108465

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