Healthcare Provider Details

I. General information

NPI: 1578083309
Provider Name (Legal Business Name): INFINITY VISION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11521 JOSEPH CAMPAU ST
HAMTRAMCK MI
48212-3050
US

IV. Provider business mailing address

11521 JOSEPH CAMPAU ST
HAMTRAMCK MI
48212-3050
US

V. Phone/Fax

Practice location:
  • Phone: 313-743-4064
  • Fax: 313-334-5094
Mailing address:
  • Phone: 313-743-4064
  • Fax: 313-334-5094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code152WS0006X
TaxonomySports Vision Optometrist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code152WX0102X
TaxonomyOccupational Vision Optometrist
License Number
License Number State

VIII. Authorized Official

Name: ALI THABET
Title or Position: OWNER
Credential: PHARMD
Phone: 313-743-4064