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WYANDOTTE OPTICALP.C. NPI 1235312570


NPI Information

NPI: 1235312570
Provider Name: WYANDOTTE OPTICAL,P.C.
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
3101 BIDDLE ST
WYANDOTTE, MI
ZIP 48192
Phone: (734) 282-5030
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WYANDOTTE OPTICAL,P.C. is an eyewear supplier in Wyandotte, MI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. WYANDOTTE OPTICAL,P.C. NPI is 1235312570. The provider is registered as an organization entity type.

The provider's business location address is:

3101 BIDDLE ST
WYANDOTTE, MI
ZIP 48192-915
Phone: (734) 282-5030

The provider's authorized official is Dan A Stein .
The authorized official title is Optometrist and has the following contact phone number (734) 282-5030.

The enumeration date for this NPI number is 12/10/2007 and was last updated on 5/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier4901002491MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1900H266940OTHERMICHIGANBLUE CROSS BLUE SHIELD OF MICHIGAN
24624620001MEDICARE NSCMICHIGAN
30N68580MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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