Healthcare Provider Details

I. General information

NPI: 1780910299
Provider Name (Legal Business Name): MICHELLE CALDER O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2009
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 ORNDORF DR UNIT 885
BRIGHTON MI
48116-7038
US

IV. Provider business mailing address

100 ORNDORF DR UNIT 885
BRIGHTON MI
48116-7038
US

V. Phone/Fax

Practice location:
  • Phone: 734-674-1672
  • Fax:
Mailing address:
  • Phone: 734-674-1672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4901004538
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: