Healthcare Provider Details

I. General information

NPI: 1649606443
Provider Name (Legal Business Name): ALL ABOUT EYES PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2013
Last Update Date: 09/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8470 MAIN ST
BIRCH RUN MI
48415-9461
US

IV. Provider business mailing address

8470 MAIN ST
BIRCH RUN MI
48415-9461
US

V. Phone/Fax

Practice location:
  • Phone: 989-624-2020
  • Fax: 989-624-6257
Mailing address:
  • Phone: 989-624-2020
  • Fax: 989-624-6257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number StateMI

VIII. Authorized Official

Name: SUSAN M PERDUE
Title or Position: MANAGING PARTNER
Credential: OD
Phone: 989-624-2020