Healthcare Provider Details

I. General information

NPI: 1154597508
Provider Name (Legal Business Name): P-COR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2008
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44987 SCHOENHERR RD
STERLING HTS MI
48313-1141
US

IV. Provider business mailing address

735 JOHN R RD STE 150
TROY MI
48083-5859
US

V. Phone/Fax

Practice location:
  • Phone: 586-247-5910
  • Fax: 586-247-5920
Mailing address:
  • Phone: 248-588-9300
  • Fax: 248-307-9518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: MRS. MICHAEL DUNN
Title or Position: VICE PRESIDENT
Credential:
Phone: 248-577-3624