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NPI Code Detail

MEDICARE: SVS VISION INC

MEDICARE: SVS VISION INC
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
1332H00000XEyewear SupplierIN
2152W00000XOptometrist

General Provider Information

NPI Number : 1629103155
Entity Type Code : Organization
Provider Name (Legal Business Name) : SVS VISION INC
Provider Business Mailing Address
First Line : 118 CASS AVE
Second Line :
City : MOUNT CLEMENS
State : MI
Zip : 48043-2204
Country : US
Telephone Number : 586-468-7370
Fax Number : 586-468-7682
Provider Business Practice Location Address
First Line : 4200 S EAST ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-1534
Country : US
Telephone Number : 317-781-1061
Fax Number : 317-781-1067
Authorized Official
Title or Position : OWNER/CEO
Name : MR. ROBERT G FARRELL JR.
Credential : OD
Telephone Number : 586-468-7370
Provider Enumeration Date : 02/23/2007
Last Update Date : 06/29/2023

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Directions to “SVS VISION INC ” Practice Location

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