Healthcare Provider Details

I. General information

NPI: 1700296068
Provider Name (Legal Business Name): AMERICA'S BEST CONTACTS & EYEGLASSES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2014
Last Update Date: 05/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 E 14 MILE RD
MADISON HEIGHTS MI
48071-1301
US

IV. Provider business mailing address

296 GRAYSON HWY
LAWRENCEVILLE GA
30046-5737
US

V. Phone/Fax

Practice location:
  • Phone: 248-591-4147
  • Fax: 248-850-7146
Mailing address:
  • Phone: 770-822-3600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: LEAHANN VAUGHN
Title or Position: MANAGED CARE COORDINATOR
Credential:
Phone: 770-822-3600