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NPI Code Detail

MEDICARE: EMILY GRACE MAGAS

MEDICARE: EMILY GRACE MAGAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPT.007262OH
2152W00000XOptometrist4901005934MI

General Provider Information

NPI Number : 1578311585
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY GRACE MAGAS
Provider Business Mailing Address
First Line : 1 FORD PL STE 3A
Second Line :
City : DETROIT
State : MI
Zip : 48202-3450
Country : US
Telephone Number : 800-999-5829
Fax Number : 313-876-1305
Provider Business Practice Location Address
First Line : 29200 SCHOOLCRAFT RD STE 5
Second Line :
City : LIVONIA
State : MI
Zip : 48150-2228
Country : US
Telephone Number : 734-523-8640
Fax Number : 313-916-2020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2024
Last Update Date : 06/01/2026

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Directions to “ EMILY GRACE MAGAS ” Practice Location

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