Healthcare Provider Details

I. General information

NPI: 1316900608
Provider Name (Legal Business Name): P L INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27903 23 MILE RD
CHESTERFIELD MI
48051-2328
US

IV. Provider business mailing address

27903 23 MILE RD
CHESTERFIELD MI
48051-2328
US

V. Phone/Fax

Practice location:
  • Phone: 586-598-3935
  • Fax: 586-598-3941
Mailing address:
  • Phone: 586-598-3935
  • Fax: 586-598-3941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4901003653
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4901003352
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID BRYAN TAYLOR
Title or Position: PRESIDENT
Credential:
Phone: 586-598-3935