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General NPI Number Information
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NPI Number | 1225799372
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Entity Type | Organization
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Legal Business Name | ELEVATE EYE CARE
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Dates
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Enumeration Date | 12/30/2021
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 1430 N ROCHESTER RD
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-1188
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Country | US
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Telephone | 248-759-8550
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Fax |
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Provider Business Mailing Address
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Address Line | 598 SNOWMASS DR
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-1377
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Country | US
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Telephone | 989-284-7321
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMIE KUZNIAR
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Credential | OD
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Telephone | 989-284-7321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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