Healthcare Provider Details
I. General information
NPI: 1407788177
Provider Name (Legal Business Name): PURESIGHT EYECARE PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1063 S STATE RD STE 8A
DAVISON MI
48423-1900
US
IV. Provider business mailing address
2243 ABBY CT
DAVISON MI
48423-8387
US
V. Phone/Fax
- Phone: 810-214-1421
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ANDRES
LAMBARIA
Title or Position: PRESIDENT
Credential: OD
Phone: 810-730-9790