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NPI 1730375189

NPI 1730375189 : M.A. SCHWARTZ OPTOMETRIST INC : CLINTON TOWNSHIP, MI

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General NPI Number Information
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    NPI Number           |    1730375189
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    Entity Type          |    Organization 
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    Legal Business Name  |    M.A. SCHWARTZ OPTOMETRIST INC 
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Dates
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    Enumeration Date     |    09/19/2007
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    Last Update Date     |    04/03/2025
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Provider Practice Location Address
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    Address Line         |    37670 GARFIELD ROAD 
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    City                 |    CLINTON TOWNSHIP
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    State                |    MI
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    Zip                  |    48036
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    Country              |    US
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    Telephone            |    586-939-1122
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    Fax                  |    586-939-9328
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Provider Business Mailing Address
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    Address Line         |    37670 GARFIELD ROAD 
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    City                 |    CLINTON TOWNSHIP
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    State                |    MI
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    Zip                  |    48036
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    Country              |    US
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    Telephone            |    586-939-1122
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    Fax                  |    586-939-9328
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SCOTT FRANKLIN SCHWARTZ 
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    Credential           |    O.D.
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    Telephone            |    586-939-1122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    4901002472
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    License Number State |    MI
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