Pearle Vision Northland
LBN: Detroit Optical Co
Pearle Vision Northland is an health care organization with primary practice located at 32987 Woodward Ave , Royal Oak MI 48073-0958. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Detroit Optical Co can be contacted via phone (248) 549-9080, or through Foon, Kenneth B via phone (248) 549-9080.
Contact Information
Primary practice address
32987 Woodward Ave
Royal Oak MI 48073-0958
Phone: (248) 549-9080
Fax: (248) 549-4770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901002904 | Michigan |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901002916 | Michigan |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1740278357 |
|---|---|
| LBN Legal business name | Detroit Optical Co |
| DBA Doing business as | Pearle Vision Northland |
| Authorized official | Foon, Kenneth B Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Mar 4th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740278357 | NPPES |
| Michigan | Other | 900F377270 | BCBSMI |
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