Healthcare Provider Details

I. General information

NPI: 1396440749
Provider Name (Legal Business Name): VUE EYE BOUTIQUE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2023
Last Update Date: 04/04/2023
Certification Date: 04/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23520 FORD RD
DEARBORN HEIGHTS MI
48127-2357
US

IV. Provider business mailing address

23520 FORD RD
DEARBORN HEIGHTS MI
48127-2357
US

V. Phone/Fax

Practice location:
  • Phone: 313-562-3422
  • Fax:
Mailing address:
  • Phone: 313-562-3422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. HASSAN SAAB
Title or Position: OPTOMETRIST
Credential: OD
Phone: 313-522-4481