Healthcare Provider Details

I. General information

NPI: 1871901892
Provider Name (Legal Business Name): HOUSER DRAPER INVESTMENTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2014
Last Update Date: 08/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 W GREENLAWN AVE SUITE 101
LANSING MI
48910-2898
US

IV. Provider business mailing address

405 W GREENLAWN AVE SUITE101
LANSING MI
48910-2898
US

V. Phone/Fax

Practice location:
  • Phone: 517-482-3940
  • Fax: 517-482-1324
Mailing address:
  • Phone: 517-482-3940
  • Fax: 517-482-1324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4901004011
License Number StateMI

VIII. Authorized Official

Name: DR. BRIAN J HOUSER
Title or Position: OWNER
Credential: O.D.
Phone: 517-485-9050