Professional Contact Lens Clinic Inc.

LBN: Professional Contact Lens Clinic Inc.
Professional Contact Lens Clinic Inc. is an health care organization with primary practice located at 30660 W 12 Mile Rd Farmington Hills, Farmington Hills MI 48334-3808. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Professional Contact Lens Clinic Inc. can be contacted via phone (248) 737-3937, or through Demercurio, Rudolph Sam via phone (248) 737-3937.

Contact Information

Primary practice address
30660 W 12 Mile Rd Farmington Hills Farmington Hills MI 48334-3808
Fax: (248) 737-2816
Website:
Authorized official contact:
Name: Demercurio, Rudolph Sam Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2356 Michigan

Profile Details

NPI number 1487799599
LBN Legal business name Professional Contact Lens Clinic Inc.
DBA Doing business as
Authorized official Demercurio, Rudolph Sam Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Jan 6th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487799599 NPPES
Michigan Other MI4432 MEDICARE PTAN

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