Suburban Optometrics Assoc P C

LBN: Suburban Optometrics Assoc P C
Suburban Optometrics Assoc P C is an health care organization with primary practice located at 32415 5 Mile Rd , Livonia MI 48154-3039. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Suburban Optometrics Assoc P C can be contacted via phone (734) 525-8170, or through Jacobi, John P via phone (734) 525-8170.

Contact Information

Primary practice address
32415 5 Mile Rd Livonia MI 48154-3039
Phone: (734) 525-8170
Fax: (734) 525-0726
Website:
Map and Directions
Authorized official contact:
Name: Jacobi, John P O.D., F.C.O.V.D.
Phone: (734) 525-8170

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003208 Michigan
Eye and Vision Services Providers / Optometrist 152W00000X 4901004024 Michigan
Eye and Vision Services Providers / Optometrist 152W00000X 4901003184 Michigan
Eye and Vision Services Providers / Optometrist 152W00000X 4901004851 Michigan
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 4901003184 Michigan
Eye and Vision Services Providers / Vision Therapy 152WV0400X 4901003208 Michigan

Profile Details

NPI number 1952518748
LBN Legal business name Suburban Optometrics Assoc P C
DBA Doing business as
Authorized official Jacobi, John P O.D., F.C.O.V.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Mar 22nd, 2016 - about 8 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 1952518748 NPPES
Michigan MEDICAID 4309851
Michigan MEDICAID 2603194

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